Poll: Americans Open to Medicare Choice, Not Medicare-for-All

Fresh poll results indicate a majority of Americans think a choice between private health insurance and Medicare is a good idea, but a Medicare-for-All plan is a bad idea.

Fresh poll results indicate a majority of Americans think a choice between private health insurance and Medicare is a good idea, but a Medicare-for-All plan is a bad idea.

A majority of Americans like the idea of choosing between private health insurance or Medicare, but disfavor eliminating private health insurance under a Medicare-for-All plan, according to a new NPR/Marist Poll.


Seventy percent of poll respondents said a choice between coverage under private health insurance or Medicare is a “good idea.” Only 25 percent view that choice as a “bad idea.” Democrats are the most supportive at 90 percent, with 70 percent of independents in agreement. Republicans are split with 46 percent liking the idea and 48 percent viewing it is a bad idea.

There was little difference in viewpoints between men and women, between respondents from different regions in the country or between big city and small city dwellers.

There were slight differences based on education and age. Millennials (79%) were the most favorable toward the idea and older Americans (64%) were the least favorable.

Fifty-four percent of poll respondents consider Medicare-for-All a “bad idea,” while only 41 percent view it as a “good idea.” As you would expect, people identifying themselves as “progressive” (68%) were the most supportive and Republicans (14%) and Trump supporters (15%) were the least enamored.

For 2020 Democratic presidential candidates, a troubling finding was that only 40 percent of self-described moderates and 39 percent of independents regard Medicare-for-All as a good idea. It is unpopular in all regions of the country and in big cities, suburban areas and rural areas.

Millennials (53%) and people with household incomes below $50,000 (49%) are the most supportive respondents for Medicare-for-All. 

The poll touched on a number of other issues. Here is a quick summary:

  • 89% of respondents regard background checks for gun purchases at gun shows is a good idea.

  • 67% favor government regulation of prescription drug prices.

  • 64% favor a pathway of citizenship for immigrants in the United States illegally.

  • 63% favor legalizing marijuana nationally.

  • 63% favor a Green New Deal to address climate change.

  • 62% favor a so-called wealth tax on higher-income individuals.

  • 57% favor a ban on the sale of semi-automatic assault guns.

  • 56% favor a $15 per hour minimum wage.

  • 53% favor the United States rejoining the Paris Climate Agreement.

  • 53% favor free tuition at colleges and universities.

  • 50% favor a carbon tax on coal, oil and natural gas.

  • 51% oppose repeal of Obamacare.

  • 50% oppose eliminating the electoral college.

  • 58% oppose abolishing the death penalty.

  • 62% oppose a national health insurance program for illegal immigrants.

  • 66% oppose decriminalizing illegal border crossings.

  • 62% oppose reparations for slavery.

  • 66% oppose a universal basic income of $1,000 per month for all US adults.

The Marist Poll was conducted from July 15-17 with 1,346 adults using a random sample of landline and mobile phone users. Of the adult respondents, 1,175 said they were registered voters. Thirty-eight percent of the registered voters were independents, 33 percent were Democrats and 27 percent Republicans. Fifty-two percent were women and 48 percent men. Minority participation was consistent with US population demographics.