Brodie Mollyann, Hamel Elizabeth C, Kirzinger Ashley, Altman Drew E
Mollyann Brodie ( mbrodie@kff. org ) is executive vice president, chief operating officer, and executive director for public opinion and survey research at the Kaiser Family Foundation, in San Francisco, California.
Elizabeth C. Hamel is vice president and director of public opinion and survey research at the Kaiser Family Foundation.
Health Aff (Millwood). 2020 Mar;39(3):462-470. doi: 10.1377/hlthaff.2019.01420. Epub 2020 Feb 19.
When the Affordable Care Act (ACA) became law in 2010, public opinion of it was narrowly divided and deeply partisan. Our review of 102 nationally representative public opinion polls in the period 2010-19 reveals that opinion remains divided and has shifted in a sustained way at only two points in time: in a negative direction following technical problems in the first enrollment period, and in a positive direction after President Donald Trump's election and subsequent Republican repeal efforts. In late 2019 the ACA was more popular than ever, yet partisan divisions have gotten larger rather than smaller. Many core elements of the law remain popular across partisan groups, even as fewer people recognize the ACA as the source of some of these provisions. While Republicans may never embrace the law that is seen as President Barack Obama's legacy, the public's reluctance to see certain benefits taken away will continue to be a roadblock for people who would seek to repeal or dismantle it.
2010年《平价医疗法案》（ACA）成为法律时，公众对其看法存在微弱分歧且党派色彩浓厚。我们对2010年至2019年期间102项具有全国代表性的民意调查进行的回顾显示，公众看法仍存在分歧，且仅在两个时间点出现了持续转变：在首个参保期出现技术问题后呈负面方向转变，在唐纳德·特朗普总统当选及随后共和党废除该法案的努力之后呈正面方向转变。2019年末，《平价医疗法案》比以往任何时候都更受欢迎，但党派分歧却变得更大而非更小。该法案的许多核心要素在各党派群体中仍然受到欢迎，尽管越来越少的人认识到《平价医疗法案》是其中一些条款的来源。虽然共和党人可能永远不会接受被视为巴拉克·奥巴马总统遗产的这项法律，但公众不愿看到某些福利被取消，这将继续成为那些试图废除或拆解该法案的人的障碍。
