WASHINGTON - Americans who already have health insurance are blaming President Obama's unpopular health care overhaul for their rising premiums and deductibles, and overall 3 in 4 say the rollout of Obamacare has gone poorly.
An Associated Press-GfK poll finds that health care remains politically charged going into next year's congressional elections. Keeping the refurbished HealthCare.gov website running smoothly is just one of Obama's challenges, and maybe not the biggest.
The poll found a striking level of unease about the law among people who have health insurance and aren't looking for any more government help. Those are the 85 percent of Americans who the White House says don't have to be worried about the president's push to expand coverage for the uninsured.
In this Dec. 4 photo, President Barack Obama pauses as he speaks about the new health care law during a White House Youth Summit, in the South Court Auditorium in the Eisenhower Executive Office Building in the White House complex.
In the survey, nearly half of those with job-based or other private coverage say their policies will be changing next year - mostly for the worse. Nearly 4 in 5 (77 percent) blame the changes on the Affordable Care Act, even though the trend toward leaner coverage predates the law's passage.
Sixty-nine percent say their premiums will be going up, while 59 percent say annual deductibles or copayments are increasing.
Only 21 percent of those with private coverage said their plan is expanding to cover more types of medical care, though coverage of preventive care at no charge to the patient has been required by the law for the past couple of years.
BY THE NUMBERS: Most Americans Not Happy With Obamacare
3 out of 4 say the rollout of the Affordable Care Act has gone poorly
Nearly 50 percent with job-based or private plans say their coverage will be changing for the worse in the next year
4 out of 5 blame Obamacare for unwanted changes in their coverage
69 percent say their premiums are going up
59 percent say their annual deductible or copayments are increasing
14 percent say coverage for spouses is being eliminated
11 percent say their health insurance has been discontinued
60 percent say they disapprove of President Obama's handling of health care
Fourteen percent said coverage for spouses is being restricted or eliminated, and 11 percent said their plan is being discontinued.
"Rightly or wrongly, people with private insurance looking at next year are really worried about what is going to happen," said Robert Blendon, a professor at the Harvard School of Public Health, who tracks public opinion on health care issues. "The website is not the whole story."
Employers trying to control their health insurance bills have been shifting costs to workers for years, but now those changes are blamed increasingly on Obamacare instead of the economy or insurance companies.
Political leanings seemed to affect perceptions of eroding coverage, with larger majorities of Republicans and independents saying their coverage will be affected.
The White House had hoped that the Oct. 1 launch of open enrollment season for the uninsured would become a teaching moment, a showcase of the president's philosophy that government can help smooth out the rough edges of life in the modern economy for working people.
Instead, the dysfunctional website became a parable for Republicans and others skeptical of government.
At the same time, a cresting wave of cancellation notices hit millions who buy their policy directly from an insurer. That undercut one of Obama's central promises - that you can keep the coverage you have if you like it. The White House never clearly communicated the many caveats to that promise.
Disapproval of Obama's handling of health care topped 60 percent in the poll.
With the website working better and enrollments picking up, Democrats are hoping negative impressions will quickly fade in the rearview mirror. The poll found that Democrats still have an edge over Republicans, by 32 percent to 22 percent, when it comes to whom the public trusts to handle health care.
But other potential bumps are just ahead for Obama's law.
It is unclear whether everyone who wants and needs coverage by Jan. 1 will be able to get it through the new online insurance markets. Some people who have to switch plans because their policies were canceled may find that their new insurance covers different drugs, or that they have to look for other doctors.