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NatioNal HealtHcare Survey for TEDMED:
                            KEY FINDINGS
Dear TEDMED ParticiPaNt:   as you know, TEDMED provides a venue for thinkers to discuss and understand how medicine
                           and healthcare intersect with the rest of our culture. and of course, it does so this year while
                           possibly historic efforts are underway to reform the united States healthcare system. to bring
                           consumers’ voices into the discussion, TEDMED President Marc Hodosh and founder &
                           chairman emeritus richard Saul Wurman enlisted the analysts at Penn, Schoen & Berland
                           associates (PSB) to survey the american public’s views on the most important healthcare
                           issues of today and tomorrow. from September 17-18, 2009 we interviewed 1005 consumers
                           online about their perspectives on current and emergent issues in healthcare ranging from the
                           reform efforts then underway to cost concerns, bioethics, pandemics and vaccinations. We
                           think the results will interest and surprise you.


                           SincErEly,
                           MarK PENN, wIllIaM MaNN, JoNathaN KaY, aND thE PSB hEalthcarE GrouP
If the PresIdent and Congress deCIde to reform the Current healthCare system,

hEalThcarE rEforM
                                      whICh of the followIng would you say Is the most ImPortant goal?                base

                                      Providing all americans with affordable healthcare choices                       48
                                      Making healthcare and health insurance more affordable                           40
                                      Improving the safety and quality of healthcare                                   11
                                      Don’t know                                                                        2



                                     49% are at least somewhat ConCerned about losIng theIr healthCare Coverage In the




56%
                                     next 12 months; 21% are very ConCerned.

                                     45% thInk that healthCare reform, as ProPosed, wIll raIse theIr healthCare Costs at
                                     least somewhat, and 19% thInk theIr Costs wIll go uP sIgnIfICantly.



     SaY that It IS MorE IMPortaNt   thaN EvEr to taKE oN hEalthcarE rEForM rIGht Now.
whICh of the followIng faCtors do you thInk Is the most sIgnIfICant drIver


hEalThcarE coSTS
                                                of healthCare Cost InflatIon?                                                           base
                                                Insurance company profits                                                                35
                                                Malpractice lawsuits                                                                     17
                                                Pharmaceutical costs                                                                     11
                                                Salary growth for medical professionals                                                   9
                                                administrative costs                                                                      7
                                                advances in medicine (for example, new procedures, screenings, treatments, and drugs)     7
                                                Don’t know                                                                                7
                                                aging population                                                                          5




35%
                                               81% are at least somewhat ConCerned about beIng denIed aCCess to effeCtIve drugs and
                                               treatments for Cost reasons (eIther by theIr InsuranCe ComPany or by the government).
                                               51% thInk that doCtors are PaId too muCh under the Current system.

 oF coNSuMErS BElIEvE that INSuraNcE coMPaNY   ProFItS arE thE PrIMarY DrIvEr oF hEalthcarE coSt INFlatIoN.
MoDErnizaTion of                 if SuPPort MoDerNiZiNG MeDical recorDS: whICh of the followIng Is
                                 Closest to your vIew?                                                                                    base

MEDical rEcorDS                  Private industry should be entirely responsible for the costs of medical record- keeping modernization
                                 the federal government should pay for all or part of the costs to modernize medical record-keeping
                                                                                                                                           44
                                                                                                                                           39
                                 Don’t know                                                                                                16




76%    SuPPort MoDErNIzING thE   rEcorD-KEEPING SYStEM uSED BY thE hEalthcarE SYStEM.
would you agree or dIsagree wIth the statement that amerICans are
         PharMacEuTicalS &                             overmedICated In ComParIson to CItIzens of other IndustrIalIzed natIons?      base

     PharMacEuTical aDvErTiSing                        Strongly agree                                                                 32
                                                       Somewhat agree                                                                 48
                                                       Somewhat Disagree                                                              11
                                                       Strongly Disagree                                                               3
                                                       Don’t know                                                                      7


                                                      57% say that there Is too muCh advertIsIng on televIsIon, and that It’s not aPProPrIate.




91%
                                                      46% say that drug ImPortatIon laws should be relaxed.




BElIEvE that MaKING GENErIc DruGS MorE avaIlaBlE IS   aN IMPortaNt Part oF thE SolutIoN to rISING DruG coStS.
fuTurE MEDicinE                           56% belIeve that sCIentIsts somewhere In the world wIll Clone a human In
                                            theIr lIfetIme.

                                            38% are oPPosed to medICal testIng on anImals, but of those, 32% waver
                                            If the exPerIments In questIon lead dIreCtly to lIfe-savIng methods for
                                            human PatIents.




PEoPlE
                                            68% vIew laboratory-grown human organs as a medICal breakthrough they
                                            would suPPort.

                                            57% say they would not trust a robot to Perform a routIne surgery on them.


 BElIEvE that MaJor MEDIcal BrEaKthrouGhS   arE oN thE horIzoN—aND thEY’rE aNxIouS aBout thEM.
Diy DocTorS &               whICh of the followIng statements Is Closest to your vIew?                    base


 alTErnaTivE MEDicinE           western medicine works best when complemented by practices drawn from other
                                medical traditions, such as acupuncture
                                western medicine works best on its own without other elements included
                                                                                                               45

                                                                                                               21
                                Don’t know                                                                     34


                               62% of resPondents say they vIsIt onlIne medICal websItes suCh as webmd to self-dIagnose
                               a medICal Problem.
                               37% say they’ve suggested a CertaIn dIagnosIs or PresCrIPtIon to theIr doCtor based on
                               researCh they’ve ConduCted onlIne.




aMEricanS
                               72% thInk that health InsuranCe ComPanIes should Cover the Cost of non-tradItIonal or
                               alternatIve medICInes.
                               67% suPPort the legalIzatIon of medICInal marIjuana.

              arE turNING to   Both NEw aND traDItIoNal altErNatIvES to DoctorS.
aging in aMErica                                        62% thInk It should be legal for PeoPle who are sufferIng from
                                                         InCurable ChronIC dIseases to Choose to end theIr lIves wIth the
                                                         assIstanCe of a PhysICIan.

                                                         but 46% have never dIsCussed wIth theIr famIly whether they’d lIke to
                                                         be kePt alIve through medICal means If, at some PoInt In the future,
                                                         they are termInally Ill and InCaPaCItated.




78%
  BElIEvE that DurING thEIr lIFEtIME It IS lIKElY that   SIGNIFIcaNt aDvaNcES wIll BE MaDE IN thE avEraGE huMaN lIFESPaN.
we asked respondents to say whether they prefer the government to take action or not on two behavior-

            PErSonal choicE &                                                          related issues that create healthcare costs—smoking and obesity. then we showed the estimated
                                                                                       direct costs each issue imposes on the healthcare system (as determined by the Centers for disease
           hEalThcarE iMPacTS                                                          Control)—$96 billion and $147 billion, respectively. after displaying these costs, we again asked whether
                                                                                       respondents preferred government action or inaction—but opinions barely shifted.

                                                                                        whICh smokIng PolICy oPtIon do you Prefer?                                                  before
                                                                                        Government action to curb smoking.                                                             45
                                                                                        No government action to curb smoking.                                                          47
                                                                                        Don’t know                                                                                      7

                                                                                        whICh obesIty PolICy oPtIon do you Prefer?                                                  before




rESPonDEnTS
                                                                                        Government action to curb obesity.                                                             47
                                                                                        No government action to curb obesity.                                                          43
                                                                                        Don’t know                                                                                     10

thINK INDIvIDualS ShoulD BE allowED to MaKE choIcES aBout thEIr owN BEhavIor wIthout   GovErNMENt INtruSIoN, EvEN whEN thoSE choIcES IMPoSE larGE coStS oN thE hEalthcarE SYStEM.
MaSS MEDia &
  PErcEPTionS                                         79% thInk that doCtors, hosPItals and medICIne are generally dePICted In
                                                      at least a somewhat PosItIve lIght.

                                                      52% of resPondents thInk that doCtors, hosPItals, and medICIne are
                                                      generally dePICted InaCCurately In movIes and televIsIon shows.

                                                      36% thInk that CelebrIty doCtors on televIsIon (suCh as dr. sanjay guPta
                                                      or dr. oz) are trustworthy medICal advIsers.



conSuMErS
     SEE FIctIoNal DoctorS DEPIctED PoSItIvElY, But   INaccuratElY—aND thEY’rE Not SurE that cElEBrItY DoctorS arE truStworthY, EIthEr.
PanDEMicS &                   whICh of the followIng Is Closest to your vIew?                              base


   vaccinaTionS
                                 vaccines are risky and generally do more harm than good                        18
                                 vaccines are low risk and generally do more good than harm                     69
                                 Don’t know                                                                     13


                                58% thInk that the government should mandate vaCCInatIon when PossIble In order to
                                Combat the sPread of dIsease.
                                but If the government dId mandate vaCCInatIons, only 76% would be at least somewhat
                                lIkely to ComPly.
                                desPIte wIdesPread ConCern about swIne flu, only 46% of resPondents Plan to get a flu




a SizablE
                                vaCCIne thIs year.
                                29% belIeve (at least somewhat) that ChIldhood vaCCInes are a ContrIbutIng Cause to
                                autIsm, though the CdC has found no lInks between the two.


        MINorItY oF aMErIcaNS   rEMaIN SKEPtIcal aBout thE BENEFItS oF vaccINES.
METhoDology   Penn, Schoen & Berland associates (PSB) conducted 1,005 internet interviews with the uS general
              population aged 18 and over from September 17-18, 2009. overall, the margin of error is +/- 3.1%.
cloSing   PSB conducts research into consumer and business attitudes towards healthcare and other issues
          for some of the world’s leading corporations. for more information about how PSB can provide
          you with Winning Knowledge™, please visit www.psbresearch.com or contact Beth lester at
          blester@ps-b.com or (202) 962-3042.

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PSB poll for TEDMED 20009

  • 1. NatioNal HealtHcare Survey for TEDMED: KEY FINDINGS
  • 2. Dear TEDMED ParticiPaNt: as you know, TEDMED provides a venue for thinkers to discuss and understand how medicine and healthcare intersect with the rest of our culture. and of course, it does so this year while possibly historic efforts are underway to reform the united States healthcare system. to bring consumers’ voices into the discussion, TEDMED President Marc Hodosh and founder & chairman emeritus richard Saul Wurman enlisted the analysts at Penn, Schoen & Berland associates (PSB) to survey the american public’s views on the most important healthcare issues of today and tomorrow. from September 17-18, 2009 we interviewed 1005 consumers online about their perspectives on current and emergent issues in healthcare ranging from the reform efforts then underway to cost concerns, bioethics, pandemics and vaccinations. We think the results will interest and surprise you. SincErEly, MarK PENN, wIllIaM MaNN, JoNathaN KaY, aND thE PSB hEalthcarE GrouP
  • 3. If the PresIdent and Congress deCIde to reform the Current healthCare system, hEalThcarE rEforM whICh of the followIng would you say Is the most ImPortant goal? base Providing all americans with affordable healthcare choices 48 Making healthcare and health insurance more affordable 40 Improving the safety and quality of healthcare 11 Don’t know 2 49% are at least somewhat ConCerned about losIng theIr healthCare Coverage In the 56% next 12 months; 21% are very ConCerned. 45% thInk that healthCare reform, as ProPosed, wIll raIse theIr healthCare Costs at least somewhat, and 19% thInk theIr Costs wIll go uP sIgnIfICantly. SaY that It IS MorE IMPortaNt thaN EvEr to taKE oN hEalthcarE rEForM rIGht Now.
  • 4. whICh of the followIng faCtors do you thInk Is the most sIgnIfICant drIver hEalThcarE coSTS of healthCare Cost InflatIon? base Insurance company profits 35 Malpractice lawsuits 17 Pharmaceutical costs 11 Salary growth for medical professionals 9 administrative costs 7 advances in medicine (for example, new procedures, screenings, treatments, and drugs) 7 Don’t know 7 aging population 5 35% 81% are at least somewhat ConCerned about beIng denIed aCCess to effeCtIve drugs and treatments for Cost reasons (eIther by theIr InsuranCe ComPany or by the government). 51% thInk that doCtors are PaId too muCh under the Current system. oF coNSuMErS BElIEvE that INSuraNcE coMPaNY ProFItS arE thE PrIMarY DrIvEr oF hEalthcarE coSt INFlatIoN.
  • 5. MoDErnizaTion of if SuPPort MoDerNiZiNG MeDical recorDS: whICh of the followIng Is Closest to your vIew? base MEDical rEcorDS Private industry should be entirely responsible for the costs of medical record- keeping modernization the federal government should pay for all or part of the costs to modernize medical record-keeping 44 39 Don’t know 16 76% SuPPort MoDErNIzING thE rEcorD-KEEPING SYStEM uSED BY thE hEalthcarE SYStEM.
  • 6. would you agree or dIsagree wIth the statement that amerICans are PharMacEuTicalS & overmedICated In ComParIson to CItIzens of other IndustrIalIzed natIons? base PharMacEuTical aDvErTiSing Strongly agree 32 Somewhat agree 48 Somewhat Disagree 11 Strongly Disagree 3 Don’t know 7 57% say that there Is too muCh advertIsIng on televIsIon, and that It’s not aPProPrIate. 91% 46% say that drug ImPortatIon laws should be relaxed. BElIEvE that MaKING GENErIc DruGS MorE avaIlaBlE IS aN IMPortaNt Part oF thE SolutIoN to rISING DruG coStS.
  • 7. fuTurE MEDicinE 56% belIeve that sCIentIsts somewhere In the world wIll Clone a human In theIr lIfetIme. 38% are oPPosed to medICal testIng on anImals, but of those, 32% waver If the exPerIments In questIon lead dIreCtly to lIfe-savIng methods for human PatIents. PEoPlE 68% vIew laboratory-grown human organs as a medICal breakthrough they would suPPort. 57% say they would not trust a robot to Perform a routIne surgery on them. BElIEvE that MaJor MEDIcal BrEaKthrouGhS arE oN thE horIzoN—aND thEY’rE aNxIouS aBout thEM.
  • 8. Diy DocTorS & whICh of the followIng statements Is Closest to your vIew? base alTErnaTivE MEDicinE western medicine works best when complemented by practices drawn from other medical traditions, such as acupuncture western medicine works best on its own without other elements included 45 21 Don’t know 34 62% of resPondents say they vIsIt onlIne medICal websItes suCh as webmd to self-dIagnose a medICal Problem. 37% say they’ve suggested a CertaIn dIagnosIs or PresCrIPtIon to theIr doCtor based on researCh they’ve ConduCted onlIne. aMEricanS 72% thInk that health InsuranCe ComPanIes should Cover the Cost of non-tradItIonal or alternatIve medICInes. 67% suPPort the legalIzatIon of medICInal marIjuana. arE turNING to Both NEw aND traDItIoNal altErNatIvES to DoctorS.
  • 9. aging in aMErica 62% thInk It should be legal for PeoPle who are sufferIng from InCurable ChronIC dIseases to Choose to end theIr lIves wIth the assIstanCe of a PhysICIan. but 46% have never dIsCussed wIth theIr famIly whether they’d lIke to be kePt alIve through medICal means If, at some PoInt In the future, they are termInally Ill and InCaPaCItated. 78% BElIEvE that DurING thEIr lIFEtIME It IS lIKElY that SIGNIFIcaNt aDvaNcES wIll BE MaDE IN thE avEraGE huMaN lIFESPaN.
  • 10. we asked respondents to say whether they prefer the government to take action or not on two behavior- PErSonal choicE & related issues that create healthcare costs—smoking and obesity. then we showed the estimated direct costs each issue imposes on the healthcare system (as determined by the Centers for disease hEalThcarE iMPacTS Control)—$96 billion and $147 billion, respectively. after displaying these costs, we again asked whether respondents preferred government action or inaction—but opinions barely shifted. whICh smokIng PolICy oPtIon do you Prefer? before Government action to curb smoking. 45 No government action to curb smoking. 47 Don’t know 7 whICh obesIty PolICy oPtIon do you Prefer? before rESPonDEnTS Government action to curb obesity. 47 No government action to curb obesity. 43 Don’t know 10 thINK INDIvIDualS ShoulD BE allowED to MaKE choIcES aBout thEIr owN BEhavIor wIthout GovErNMENt INtruSIoN, EvEN whEN thoSE choIcES IMPoSE larGE coStS oN thE hEalthcarE SYStEM.
  • 11. MaSS MEDia & PErcEPTionS 79% thInk that doCtors, hosPItals and medICIne are generally dePICted In at least a somewhat PosItIve lIght. 52% of resPondents thInk that doCtors, hosPItals, and medICIne are generally dePICted InaCCurately In movIes and televIsIon shows. 36% thInk that CelebrIty doCtors on televIsIon (suCh as dr. sanjay guPta or dr. oz) are trustworthy medICal advIsers. conSuMErS SEE FIctIoNal DoctorS DEPIctED PoSItIvElY, But INaccuratElY—aND thEY’rE Not SurE that cElEBrItY DoctorS arE truStworthY, EIthEr.
  • 12. PanDEMicS & whICh of the followIng Is Closest to your vIew? base vaccinaTionS vaccines are risky and generally do more harm than good 18 vaccines are low risk and generally do more good than harm 69 Don’t know 13 58% thInk that the government should mandate vaCCInatIon when PossIble In order to Combat the sPread of dIsease. but If the government dId mandate vaCCInatIons, only 76% would be at least somewhat lIkely to ComPly. desPIte wIdesPread ConCern about swIne flu, only 46% of resPondents Plan to get a flu a SizablE vaCCIne thIs year. 29% belIeve (at least somewhat) that ChIldhood vaCCInes are a ContrIbutIng Cause to autIsm, though the CdC has found no lInks between the two. MINorItY oF aMErIcaNS rEMaIN SKEPtIcal aBout thE BENEFItS oF vaccINES.
  • 13. METhoDology Penn, Schoen & Berland associates (PSB) conducted 1,005 internet interviews with the uS general population aged 18 and over from September 17-18, 2009. overall, the margin of error is +/- 3.1%.
  • 14. cloSing PSB conducts research into consumer and business attitudes towards healthcare and other issues for some of the world’s leading corporations. for more information about how PSB can provide you with Winning Knowledge™, please visit www.psbresearch.com or contact Beth lester at blester@ps-b.com or (202) 962-3042.