'Obamacare' vs. 'Affordable Care Act': Does the name matter?
Does it matter what President Obama calls his health-care reform law? That question arises because he鈥檚 seemed to shift his references in recent days. Previously, he鈥檇 embraced the label 鈥Obamacare,鈥 saying it reflected the fact that he did indeed care about uninsured Americans. But as Politico notes, that term now seems to have fallen into White House disfavor.
Instead, the administration appears to again prefer 鈥淎ffordable Care Act鈥 (ACA), which reflects the law鈥檚 full name, 鈥淧atient Protection and Affordable Care Act.鈥 That鈥檚 how Mr. Obama has been referring to it in public. Democratic Party talking points now emphasize the 鈥淎ffordable Care Act鈥 phrase.
鈥淐alling it the Affordable Care Act has advantages for Democrats seeking to defend health care reform while still criticizing the bungled White House rollout,鈥 Politico鈥檚 last week.
Think this is just a minor tweak, or maybe the media are reading too much into the president鈥檚 rhetoric? We鈥檇 say that鈥檚 highly unlikely. Administrations poll voters on the use of one word or another all the time. Indeed, that鈥檚 a technique used throughout US politics.
鈥淚t鈥檚 a truism in politics that labels matter,鈥 Gallup鈥檚 editor in chief in his blog on survey techniques.
To show this, Gallup ran a poll that tested different ways to refer to the health-care law. The results showed that the name had at least a marginal effect on respondents鈥 opinions.
Gallup鈥檚 test went like this: Some people were asked whether they approved of the Affordable Care Act that had been signed into law by Obama. Some were simply asked if they liked the 2010 law that had changed the US health system. A third variant asked if respondents liked 鈥淥bamacare.鈥 A fourth asked if they liked the 鈥淎ffordable Care Act,鈥 with no mention of Obama at all.
That last version polled the best. Using that question, Gallup found that 45 percent of respondents approved of the ACA and 49 percent disapproved.
In contrast, the version that referred only to 鈥淥bamacare鈥 polled worst. Only 38 percent approved of Obamacare per se, while 54 percent of respondents disapproved.
鈥淭hese results suggest that the Obama administration鈥檚 decision to shift to Affordable Care Act as their label of choice and to avoid using Obamacare would appear to be a branding strategy that works in the administration鈥檚 interest,鈥 Mr. Newport writes. 鈥淐learly, all else being equal, the words 鈥楢ffordable Care Act鈥 engender a modestly more positive reaction than the term Obamacare.鈥
This shouldn鈥檛 be that surprising. Presidents can be polarizing. Lots of political science research shows that personal involvement on the part of a US chief executive makes political opponents view an issue in a more negative light.
We鈥檇 also note that even the best-case scenario in that Gallup poll shows that opinion of the ACA is more negative than positive. That probably reflects both the public鈥檚 long-felt wariness about the law and the continued negative publicity from its problematic rollout.