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Healthcare Survey

Thank you for participating in the healthcare survey. Your responses have been submitted.
Health Care Today
1. Thinking about health care in Texas overall, are you generally satisfied or dissatisfied with…
     
  a. ...the cost of health care in our country? Select one.
  Satisfied
  Dissatisfied
     
  b. ...the quality of health care in our country? Select one.
  Satisfied
  Dissatisfied
     
2. Do you and your family have health care coverage?
     
  Yes
  No
  Some family members in the household do, some do not
     
    If yes: (Check all that apply.)
   
Coverage provided through employer (yours, spouse's, partner's or parents')
Medicare
Coverage purchased by you or someone in your family
Other:
     
    Who does not have coverage?: (Check all that apply.)
   
Self
Spouse/Partner
Children younger than 18
Children ages 18-24
Children ages 24 and older
Other relatives (parent, sister, brother, etc.)
     
    if you have no coverage, would you be willing to purchase insurance through the proposed Health Opportunity Pool (HOP) trust fund which includes two prescriptions a month, as many as five preventative doctor visits a year and as many as five days of inpatient hospital care a year? This insurance is available for families if their income is at or below 200 percent of the federal poverty level--$42,400 for a family of four.
  Yes
  No
     
3. Does your health insurance cover all the care you need at a price you can afford?
     
  Yes.
  No. What is not covered or not affordable? (Check all that apply.)
   
Prescription drugs
Preventive care and checkups
Tests
Specialists
Other:
     
4. If you have employer-provided health coverage, how have your costs for it changed in the past couple years? Select one.
     
  Stayed about the same
  Improved
  Gotten worse
     
5. How much did you and your family spend out of pocket for health care in the past year (include premium costs you pay, co-pays, deductibles and prescription costs)? Select one.
     
  Nothing
  $1-$100
  $100-$1,000
  $1,000-$5,000
  More than $5,000
     
6. In the past year, did you or a family member experience any of the following:
     
  Did not visit doctor when sick because of cost
  Skipped medical test, treatment or follow-up recommended by doctor because of cost
  Did not fill a prescription or skipped doses because of cost
  Had serious problems paying or were unable to pay medical bills
  Ran up credit card or other debt you're still paying off due to medical costs
  Considered or filed for personal bankruptcy because of medical debt
  Had to choose between paying for medical care or prescriptions and other essential needs (rent or mortgage, utilities, etc.)
   
7. In the past year, has an insurance company initially refused to cover a medical treatment for you or a family member that should have been covered?
     
  Yes
  No
     
8. Have you or has a family member stayed in a job to maintain health benefits when you would have preferred changing jobs?
     
  Yes
  No
     
9. Overall, what do you think about today's health care system? Choose one.
     
  It works pretty well. Only minor changes are needed
  Fundamental changes are needed
  It should be completely rebuilt
     
Health Care in the Future
10. Looking ahead over the next few years, are you concerned about affording health insurance? 
     
  Not concerned
  Somewhat concerned
  Very concerned
     
11. Are you concerned about losing health coverage because you may lose your job or change jobs?
     
  Not concerned
  Somewhat concerned
  Very concerned
     
12. How important is health care to you as a voting issue in the 2008 elections? 
     
  Very important
  One of many serious issues but not top tier
  Not important
     
13. How much have you heard about health care proposals from the presidential candidates? 
     
  A lot
  Some
  Nothing
     
14. What advice would you like to give to elected officials and candidates about Texas' health care system?
 
Limit: 150 words
     
15. Below are some of the changes that have been suggested by candidates for office. For each one, choose whether you think it is a good idea that will help you and people like you or whether it is a bogus solution.
   
 
Good
Idea 		Not a Good Idea    
Offer choice of health insurance plans with benefits at least as generous as members of Congress receive  
Require employers to provide health care coverage or contribute to its cost  
Cover preventive care at little or no cost  
Set rules and establish a watchdog on insurance companies to reduce costs  
Use technology to increase efficiency and reduce paperwork  
Establish a watchdog on drug companies to reduce costs  
     
16. Which of the two following statements do you most agree with?
     
  Health care reform should be based on the current private insurance market. If we let the market do its job, companies will compete for customers and that will control costs and quality. People who don't have health coverage now should get tax incentives to help them pay for insurance.
  Health care reform should control costs and ensure everyone gets health care at least as good as what they have now. It should let people choose their own doctor and establish government as a watchdog on quality and costs.
     
17. What steps would you be willing to take to improve health care? (Check all that apply.)
     
  Write a letter to the editor of a magazine or newspaper
  Write to or visit an elected official
  Actively volunteer for a political party or candidate
  Sign a petition
  Attend a rally/demonstration
  Talk to family/friends about the issue
  Send an e-mail to friends or elected officials on the issue
     
About You
18. Are you : 
     
  Currently employed
  Retired
  Not currently employed and not retirement age
     
19. What is your age?  
     
  18-29 years
  30-39 years
  40-49 years
  50-64 years
  65 years or older
     
20. What is the last year of schooling you have completed?  
     
  First-11th grade
  High school graduate
  Non-college post-high school (technical school, for example)
  Some college
  College graduate
  Post-graduate school
     
21. Are you : (Check the one item that applies best.)
     
  White/Caucasian, non-Hispanic
  African American, non-Hispanic
  Hispanic/Latino
  Asian Pacific American/East Asian
  Native American
  Biracial/multiracial
     
22. Please check all that describe you:
  Student
  Have children younger than 18 living with me
  Married
  Domestic partner
  LGBT
     
23. Are you registered to vote?  
     
  Yes
  No
     
24. Are you planning to vote in the November 2008 elections?  
     
  Yes
  No
     
     
     
Tell Us Your Health Care Story
25. Please tell us about your experience with today's health care system.   (Optional)
   
 
Story Title:
   
  Your comments will be used to compile an anonymous survey. If you would like to be published on the website with your first name, city, and state, please let us know.
   
  Please do not name a company or individual. If necessary, we will edit posts to remove specific names.
 
Limit: 300 words
   
 
Story Category:
   
   
26. Please tell us more about yourself.   (Optional)
     
   
 
E-Mail:
First Name:
Phone:
City:
State:
ZIP:

 
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