title: Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion.
abstract: Expansion of Medicaid under the Affordable Care Act to millions of low-income adults has been controversial, yet little is known about what these Americans themselves think about Medicaid. We conducted a telephone survey in late 2013 of nearly 3,000 low-income adults in three Southern states--Arkansas, Kentucky, and Texas--that have adopted different approaches to the options for expansion. Nearly 80 percent of our sample in all three states favored Medicaid expansion, and approximately two-thirds of uninsured respondents said that they planned to apply for either Medicaid or subsidized private coverage in 2014. Yet awareness of their state's actual expansion plans was low. Most viewed having Medicaid as better than being uninsured and at least as good as private insurance in overall quality and affordability. While the debate over Medicaid expansion continues, support for expansion is strong among low-income adults, and the perceived quality of Medicaid coverage is high.
authors.affiliation: Arnold M. Epstein (aepstein@hsph.harvard.edu) is the John H. Foster Professor of Health Policy and Management in the Department of Health Policy and Management, Harvard School of Public Health, in Boston, Massachusetts.
authors.forename: Arnold M
authors.initials: AM
authors.lastname: Epstein
authors.affiliation: Benjamin D. Sommers is an assistant professor of health policy and economics in the Department of Health Policy and Management, Harvard School of Public Health.
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Sommers
authors.affiliation: Yelena Kuznetsov is a research assistant in the Department of Health Policy and Management, Harvard School of Public Health.
authors.forename: Yelena
authors.initials: Y
authors.lastname: Kuznetsov
authors.affiliation: Robert J. Blendon is a professor of health policy and political analysis in the Department of Health Policy and Management, Harvard School of Public Health.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Blendon
mesh_terms: D000328:Adult; D001131:Arkansas; D005260:Female; D006801:Humans; D007629:Kentucky; D008297:Male; D008484:Medicaid / Q000191:economics*; D017057:Medically Uninsured; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act; D011203:Poverty / Q000706:statistics & numerical data*; D011639:Public Opinion; D011795:Surveys and Questionnaires; D013781:Texas; D014481:United States
keywords: Health Reform; Insurance Coverage < Insurance; Medicaid; Public Opinion