Despite expressing general ambivalence about the U.S. health care system, most Americans report satisfaction with their own health coverage.
A new survey of 1,500 employees from the Employee Benefits Research Institute finds that half of U.S. workers are either extremely satisfied or very satisfied with their current health plan.
Similarly, 45 percent say they were very happy with the medical care they have experienced in the past two years and 33 percent say they are somewhat satisfied. Fifteen percent say they are “not too satisfied” with their interactions with the medical system and 6 percent say they are not at all satisfied.
Those same workers are reluctant to endorse the broader system in which their health plan operates. Only 3 percent of respondents rate the U.S. health care system as excellent, 12 percent rate it “very good” and 25 percent call it good. The majority rate it either poor (27 percent) or fair (33 percent).
Consistent with other research that suggests the growth in health care costs is slowing, roughly half of employees surveyed say the cost of their health plan increased in the past year, compared to 61 percent who reported an increase in 2013.
Most workers believe that their employer will continue to offer comprehensive medical coverage in the future. Sixty-three percent say they are very confident about their employer will maintain insurance coverage for employees, while another 28 percent are “somewhat” confident.
However, some workers who are confident they will have coverage nevertheless express doubts about access to necessary medical services. Only 48 percent express high confidence that they can get needed treatments today, while only 34 percent are very confident they will be able to count on access to critical treatments over the next decade.
Similarly, workers express doubts about whether they will have a robust choice of doctors, hospitals and clinics. Forty-two percent say they are very confident that they currently have enough choices and only 32 percent say they are confident about their array of choices over the next decade. When it comes to post-retirement care, only 25 percent are very confident that Medicare will provide them adequate choices.
If it seems odd that workers who voice doubts about their access to medical services would nevertheless express satisfaction with their health plans, it’s important to note that many employees, particularly the younger ones, prioritize cost above everything else when assessing insurance.
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