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To: SOS LIST

Greetings to friends and colleagues!

This is another in a series of Harris surveys to be highlighted for
SOS-DATA.

INTRODUCTION: Everyone agrees that America's health care system
needs important change. In this climate, it is valuable to know the
opinions of the general public, but it is also important to know
the opinions and feelings of key health care leaders -- those in a
position to effect change, and upon whom we will ultimately rely to
improve the American health care system.

To move the deliberative process toward consensus in this area of
health care, compromises, trade-offs, choices will have to be made.
Most "stakeholders" in the system (including physicians, hospital
administrators, insurers, employers, and union leaders) will have
to settle for less than they are insisting upon today.

This database attempts to provide a picture on where the
"stakeholders" stand on various health related issues including
areas of compromise or consensus. Knowing this might point to a
common ground on which an improved health care system can be built.


TITLE: Harris 1990 Health Policy Options Survey, study no. 902026.
       (Also know as: Trade-Offs and Choices: Health Options for
       the 1990's). Conducted by Louis Harris and Associates for
       Metropolitan Life Insurance Company.

SAMPLE: Telephone interviews were conducted with leaders of nine
       key "stakeholder groups" in the American health care system.
       The larger samples (i.e., corporate executives, federal
       legislators, and hospital CEOs) were systematic probability
       samples. The smaller samples were "near censuses" of the
       groups surveyed. The entire sample included:

          -- 1,175 senior corporate executives
          --   260 federal legislators (senators and
                   representatives)
          --    25 key committee staff from the committees
                   of the federal Senate and House
          --    15 senior executives from the federal Health
                   Care Financing Administration and Health and
                   Human Services
          --    50 union leaders from the 100 largest labor
                   unions in the United States
          --   201 physician leaders chosen from all the
                   medical societies listed in the most recent
                   directory of the American Association of Medical
                   Society Executives
          --   251 chief executive officers of hospitals with
                   50 beds or more
          --    50 state representatives chosen from the universe
                   of state health commissioners and staff members
                   of state health committees
          --    21 major health insurers from the nation's 25
                   largest health insurance companies

SAMPLE SIZE: 2,048 leaders.

TIME PERIOD: September through November 1990.

SUMMARY:  This survey examines the trade-offs and choices that may
          confront the key players in the American health care
          system. Questions on acceptability include placing
          higher taxes on cigarettes and liquor, increased premiums
          for people with unhealthy lifestyles, increased cost-
          sharing, prior approval of primary care physicians for
          specialty care, waiting for elective surgery, limitations
          on the right to sue for malpractice, and cost shifting.
          Trade-offs and choice questions include mandated
          coverage of full-time employees, closing hospitals with
          low occupancy rates, payroll tax to cover unemployed,
          physicians accepting 10% reduction in fee, choice of
          health plans (present system, present system with two
          changes, or comprehensive government health insurance
          program), having to pay out-of-pocket a higher
          proportion of the cost, insurers subject to federal
          regulation for health insurance, paying higher taxes,
          and toughest barrier to reform.


AVAILABILITY:

         These data are available from the Harris Data Center at
         a cost of $100. The cost includes the data, documentation,
         tape, and cost of mailing. For more information contact
         the Louis Harris Data Center, Institute for Research in
         Social Science, University of North Carolina at Chapel
         Hill, Manning Hall CB#3355, Chapel Hill, N.C. 27599.
         Telephone: (919) 966-3348 or FAX 919-962-IRSS.

         The reports are available from:


            Richard Chamberlain
            Makovsky and Co., Inc.
            245 Fifth Avenue
            New York, N.Y. 10016
            (212) 532-6300
_________________________________________________
RELATED SURVEYS:
Access to Health Care in the US (#824002)
Physicans/Cost Containment (#834006)
Employees/Health Cost Containment (#844009)
Employers and HMOs (#804003)
Health Across America (#874018)
Three Nation Health Care (#884021)


************************************************************
Sue A. Dodd
Data Archivist
Institute for Research in Social Science
Manning Hall, CB#3355
University of North Carolina
Chapel Hill, N.C. 27599-3355
(919) 962-0517
(919) 962-IRSS FAX
SDODD.IRSS@MHS.UNC.EDU  OR USDODD@UNCVM1.BITNET
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