September 24, 2013

Most Americans have not felt impact of new health care law


About six-in-ten Americans have yet to see much impact from the health care law.

One of the complexities of the new health care law is that its provisions do not all take effect at one time. Some elements of the law started kicking in after its passage in 2010, and will continue to roll out until the last one – a tax on high-cost insurance – is implemented in 2018. (The Kaiser Family Foundation has an interactive Health Reform Implementation Timeline).

DN_Health_LawNow, more than three years after its passage, some of the law’s most important provisions will be taking effect. On Oct. 1, health consumers will be able to shop for coverage on online health insurance exchanges for policies that would take effect next year, when the individual mandate requiring Americans to have insurance takes effect.

One result of the long phase-in, and the fact that major elements of the Affordable Care Act are just now about to become reality, is that a majority of Americans (57%) still say they do not have enough information to understand how the law would impact them, according a Kaiser Family Foundation survey conducted in March. Kaiser said that “public knowledge of the ACA’s provisions has not increased since 2010, and awareness of some key provisions has declined somewhat since the law’s passage when media attention was at its height.”

Another result is that, while the fight over the ACA goes on, 63% of Americans say they have yet to see much of an impact from the law on themselves or their family, according to a Pew Research Center survey conducted in early September.

The survey also found that 31% of Americans say the law so far has not had much of an effect on the country. But among those who do believe it has had an impact, assessments of the law’s effect on the country so far are more negative than positive. A plurality (38%) says the effect on the country so far has been mostly negative, while 24% say it has been mostly positive. In the future, 47% say the effect on the country as a whole will be negative, compared with 35% who say it will be positive.

Category: Daily Number

Topics: Health Care

  1. Photo of Bruce Drake

    is a senior editor at Pew Research Center.


  1. Stef4 years ago

    You are right, most people are in for a rude awaking when this beast kicks in unless it can be delayed to be reassessed or stopped which I think is doubtful while Obama and dems are in control. More and more of our lives are being controlled by government, we are becoming Europe and headed for a huge crash. Folks need to wake up and see what’s becoming of our country. Do they really want the dysfunctional government controlling theirs lives more than what is already happening? I think not!

  2. Mary4 years ago

    The increased cost of the premium is only HALF of your problem. If you need any kind of medical care other than preventative, you can add up $500 or $600 a month in out-of-pocket copays and deductibles to your medical costs. Do people not realize this because I don’t hear many people commenting on this issue.

  3. George Daghlian4 years ago

    Hillary will be edged out by the New Woman from Mass. With her leadership, we will move on to single payer like Medicare and this will all end. The profit for care model needs to end….at least profit from administration and owning the nations hospitals. We need to move back to community based medical care.

  4. lynn eschbach4 years ago

    My individual policy was just cancelled. I must re-enroll if I want to stay in the network or I am to go to the state’s exchange. Stay tuned to see what my rate increase will be to stay in network. I hope I’m wrong about an increase in premium because if I’m not, I WILL NOT be able to keep my doctor as was touted.