Most Americans Want to Replace the ACA with Single Payer

58% of Americans would repeal and replace the ACA with “a federally funded healthcare program providing insurance for all Americans, according to a new poll released today by Gallup.

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The most interesting finding concerned Republican support for single payer: 41% of Republican and Republican-leaning respondents supported the move to replace the ACA with a single payer plan.

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A Kaiser poll conducted last December found a very similar result: 58% of Americans supported the idea of a national, “Medicare for all” plan, whereas only 40% viewed the ACA favorably.

While the mainstream media has done its best to try to undermine single payer – just this week, the Washington Post published 4 separate stories on the Urban Institute’s damaging analysis of Bernie Sanders’s healthcare proposal – this new round of polling shows that support for single payer has fully weathered the election season onslaught.

Tell us what you think!


  1. Helen B. Canin on May 16, 2016 at 6:04 pm

    DEFINITELEY want ACA replaced with single payer “Improved Medicare for All”!

    • Beverly Rice on May 16, 2016 at 6:33 pm

      We need both an improved medicare and working toward a medicare program for all.

    • marguerite kelley on May 16, 2016 at 8:10 pm

      Yes, we definitely need Single Payer. Majority of people do not realize that we would save money, not spend more money for health care. It’s humane, just, and needed. I pray we can get there some day. After working within health care administration you begin to realize the existing system is wasteful and criminal.

    • Raven Kasprzak on May 16, 2016 at 10:00 pm

      Single payer is what we need.

    • Dusty on May 17, 2016 at 3:54 pm

      Sorry, but the ACA is useless. Not cheap, my one son 51 has it after he lost a job and pays $450 a mo and a $6000 deductible. Most cannot afford to get sick. Have a grand daughter said on here awhile back had a kidney stone in Fla. went to ER ended up a $11,000 bill in Zephyrhills, Fla hospital even with insurance she has to pay a big part per they did an MRI for $7000 after she had passed her stone WHY? To make the money. I am an RN retired I worked many areas in hospital and I saw GREED for years in health care and the sick. A few states now are going to have one insurance like Blue Cross WHY? So time now to speak out and do something Congress and our politicians enough now? We are all being taken per the cost of medicine and those who profit. I worked my last 6 yr as an RN at an HCA with no raises they said it was being Maxed out? Oh really? I still made sure my patients were taken care of for this corporation? We now are about the only country in the whole big world with no real affordable health care WHY? Why I now support Sen Sanders the most, Hillary will not do much she will be busy making her big money speeches? Thank you this site Healthcare-NOW for the fight forward.

  2. Helen B. Canin on May 16, 2016 at 6:15 pm

    I definitely want ACA replaced with a single payer “IMPROVED MEDICARE for ALL”

  3. Juan de Marchena on May 16, 2016 at 7:20 pm

    I am in complete agreement with socialized medicine or Medicare for all if you prefer. Healthcare is a human right and we are one of the only countries in the world that does not treat as such.

  4. Faye Bennett on May 16, 2016 at 7:28 pm

    I definitely want ACA replaced with a single payer “improved medicare for all…including dental care. Dental health is essential to one’s health.

  5. Janice on May 16, 2016 at 7:37 pm

    If we had a single payer health insurance plan, the number of infant deaths in our country might just disappear. As it is, according to the CIA World Factbook, the USA is about 50 on the list of countries of the world. Every country that has a single payer health plan does better than the USA, even Cuba.

  6. S.L. Fitch on May 16, 2016 at 7:38 pm

    This is what is best for Americans. We all need affordable health care and single payer is the answer! It works in Canada & the UK and it will work in the USA. Replace ACA with Improved Medicare for All!

  7. barbara stamp on May 16, 2016 at 7:39 pm

    Let’s do it!

  8. John Tovar on May 16, 2016 at 7:40 pm

    I do not want ACA Repealed, I want it replaced with single payer, if it gets repealed first, too many shysters in Congress will not let it get replaced. Pay attention, Republicans have wanted to get rid of ACA from day one, for God’s sake they have tried to vote it out SIXTY times so far. What is needed is enough Democrats and Independents voted in to get Single Payer to become a reality, it is imperative that every Americans that gives a darn, understand this.

  9. Troy L Abraham on May 16, 2016 at 7:40 pm

    Thanks for finally enacting simgle payer ensurimg health of citizems of hawaii and the world.

  10. Agnes Woolsey on May 16, 2016 at 7:48 pm

    First we should put the Single Payer health Care for All on the ballot.
    Then if it passes repeal the A.C.A. plan.

    We don’t want to be tricked into deleting the Obamacare plan without Health Care for All in place.

  11. Agnes Woolsey on May 16, 2016 at 7:50 pm

    see my concern above. We should not be duped by the Republican majority in Congress.

  12. Philip J. Dennany on May 16, 2016 at 7:51 pm

    Anyone that has done any research and can count knows that single payer health is by far the least expensive plan that exists in other and works very well in other countries that have it, as it eliminates the unneeded and excessive middle-man insurance rip-off costs, and monies paid go directly to the healthcare providers.

  13. Richard simcock on May 16, 2016 at 7:54 pm

    The Aca will fail to serve all citizens equitably so long as private for profit insurance companies are involved in the coverage and administrative positions they now have with the ACA operation.(Their needs for profit does not allow it to succeed as costs will continue to rise unfairly)
    Single payer coverage paid for equitably through Federal Income Taxation, is the most proven way to accomplish equal coverage for all. All we need to do is look beyond our boarders to the other countries who deal with the same issue successfully. We don,t have to reinvent the wheel to provide sensible coverage.

  14. harold meyer jr on May 16, 2016 at 8:54 pm

    I was an owner of a Third Party Admin firm for partially self funded medical plans and feel a single payer plan for all citizens like medicare would be the least expensive way to go and have a common set of plans available. It would be able to negotiate costs and monitor fraud! Harold

  15. Sasha Romanov on May 16, 2016 at 9:01 pm

    I was on Obamacare for close to two years. It was very expensive monthly and paid only 50% for a cancer ultrasound to detect suspected cancer that was ordered my doctor. Who has $600 out of pocket for that? I didn’t!! Luckily I was able to go off in January of this year, but others aren’t so lucky. We have to do better than Obamacare. We have to have single payer/improved Medicare for all. We have to demand it!!

  16. Mark Stone on May 16, 2016 at 9:53 pm

    The ACA and the healthcare we had before it, are literally killing American citizens. Universal healthcare without insurance companies is the only way to control the outrageous and ever increasing cost of healthcare in this country!

  17. Raven Kasprzak on May 16, 2016 at 10:01 pm

    It is time for single payer

  18. Joyce on May 16, 2016 at 11:31 pm

    Expansion is necessary to give everyone, at the very least, what Medicare provides. Vision and dental coverage is crucial too–creating blind and toothless people just because they can’t afford the care hurts everyone. Mouth infections lead to all sorts of other problems including heart infections which cost much more to correct. A neighbor down the street from me recently went blind because of untreated glaucoma so now will live off disability for the next c. thirty years…..What kind of society allows this to happen?!

  19. Alice Artzt on May 16, 2016 at 11:42 pm

    For sure we need single payer, and we also absolutely need Bernie Sanders as president. He is our ONLY hope for people, for the country, and for the planet.

  20. Cynthia on May 16, 2016 at 11:46 pm

    Do not repeal the ACA. Work to get a public option and gradually work towards single payer. Repealing the ACA would set us back years and be just what the Republicans want. It would never get replaced. Work to improve what we have and the rest will fall into place.

  21. Diane Lucas, MD on May 17, 2016 at 1:55 am

    Every other developed country is able to provide health care to all of its residents and at a cost significantly lower than our cost. Their health outcomes are also significantly better (life expectancy,
    infant mortality, important parameters such as blood pressure, etc). The stress of exorbitant health
    care bills and medical bankruptcy are unknown in other countries. What do these other countries know that we don’t? SINGLE PAYER!
    One factor totally overlooked by the naysayers is that 60% of our nations’s health care costs are ALREADY
    paid for by government, with for profit providers and pharmaceutical companies receiving exorbitant payments. If the naysayers were truly concerned about the national debt, they would acknowledge the harm done to the debt by the current system and support single payer.
    It just makes medical and financial sense!

  22. ERV AMDAHL on May 17, 2016 at 2:14 am

    I’ve been pushing for a single payer for many years, it’s more than about time. It will save us money in the long run and we need to end Big Pharma’s hold on greedy drug pricing and put the FDA on notice to protect the citizens, not corporate or special interest greed so we need to put an end to the revolving door

  23. Mary Anne Michelet on May 17, 2016 at 9:46 am

    Single payer…equity for all.

  24. Barbara Johnston on May 17, 2016 at 2:42 pm

    Single-payer Medicare for All is the way to go, America! We need to catch up with the rest of the world!

  25. JERRY NEWSOM on May 17, 2016 at 3:10 pm

    I’m on Medicare myself and want ALL Americans to have this kind of reliable health insurance! It does NOT mean the gov’t manages your care! I choose my doctors who help me manage my own care! If we’re all in this together, we’ll have even BETTER CARE!!

  26. Nancy on May 17, 2016 at 5:40 pm

    Echoing the concerns of a couple of others, I favor a comprehensive single-payer plan that would replace the ACA, but NOT repealing ACA before the single-payer option was already voted on and approved by congress. Repealing the ACA should not be the main goal.

  27. LINDA IN ALBANY NY on May 17, 2016 at 5:50 pm

    My primary reason for supporting Bernie Sanders’ presidential campaign is his stand on single payer. The ACA was a feeble attempt, too expensive and inefficient, at improvement (and of course, anything Obama proposes is automatically opposed by many). Replace the ACA with single payer and join the advanced nations.

  28. Elodia Resendez on May 17, 2016 at 7:36 pm

    Republicans oppose the ACA until they have had to use it. And insurance companies love the ACA, all the way to the offshore banks and their zero tax returns.

  29. Wendy Oser on May 18, 2016 at 12:23 pm

    Yes. Single Payer health care for all, including medicines, dental and vision care. If we are more compassionate to our own, perhaps we will will become more compassionate to all peoples.

  30. sandra l lawrence on May 20, 2016 at 6:17 pm

    Medicare for all makes logical sense. Structure already exists for enlarging; operating costs of program a fraction of private methods. Add’l insurance can be available for those who desire Cadillac plans, but NO ONE should be without basic medical coverage in the USA!

  31. Barbara Passarge on August 19, 2016 at 6:20 pm

    I do not want the government to manage a healthcare system. I want the Providers of Care to set up their own system in each state where payments are sent to them directly by the employer or employer or both.

    In Arizona, if all of the employed of 2.6 million paid $250 a month that would come to approximately to 7.8 billion dollars. If we changed the way hospitals work where they only treat patients that required at least 1 overnight stay it would reduce cost. We would need more 24 hour clinics that could handle most medical issues.

    It could possibly eliminate the state having to pay for low income people. If all the providers of healthcare would do a practice analysis that would involve many details in their report and all set a meeting to share this information, we could easily afford it with 7.8 billion directly going into their own Provider of Care system where the funding would directly go to.