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Terrorism, Human Rights Top Priorities For World Affairs;
Many Others, Including Health, Rated Important
I’m going to read you some different things the president and Congress might try to do when it comes to world affairs. As
I read each one, tell me if you think it should be one of their top priorities, important but not a top priority, or not that
important?
One of the top priorities

Important, but not top priority

Fighting global terrorism

Not that important

59%

Protecting human rights

31%

54%

Helping out in areas affected by natural disaster

9%

36%

43%

9%

50%

Promoting opportunities for women and girls around the world

37%

Protecting the environment and fighting climate change

36%

Improving education in developing countries

35%

45%

Improving health for people in developing countries

34%

49%

Helping to reduce poverty in developing countries

34%

6%

Promoting stability of global financial markets
Promoting democracy in other countries
Providing military assistance to developing countries

43%
36%

17%

25%
19%
16%

45%

31%
22%

18%

20%

46%
42%
41%

NOTE: Some items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

19%
33%
39%
All Health Priorities Seen As Important; Clean Water,
Children’s Health, Nutrition Rise To Top
I’m going to read you some different areas in which the U.S. might contribute to efforts to improve health in developing
countries, and for each, I’d like you to tell me if this should be one of the top priorities, important but not a top priority, or
not that important.
One of the top priorities

Important, but not top priority

Not that important

Improving access to clean water

64%

Children's health, including vaccinations

29%

60%

Reducing hunger and malnutrition

34%

57%

Preventing and treating HIV/AIDS

6%

34%

49%

Combating global pandemic diseases like swine flu

6%

8%

38%

43%

42%

11%
12%

Building and improving hospitals and other health care facilities

40%

46%

13%

Preventing and treating malaria

39%

48%

11%

Preventing and treating tuberculosis

38%

Eradicating polio

37%

Efforts to reduce the number of women who die during childbirth
Improving access to family planning, reproductive health
Preventing and treating heart disease, other chronic diseases

48%
45%

35%
31%
29%

48%
43%
49%

NOTE: Items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

12%
15%

15%
24%
21%
Half Say Polio Eliminated In U.S., Three-Quarters Know It
Has Not Been Eliminated In Rest Of World
As far as you know, has the disease polio been
eliminated in the U.S., or not?

How about outside of the U.S., as far as you
know, has the disease polio been eliminated in
the rest of the world, or not?

Yes
11%
No
37%

Yes
52%

No
74%

Don't know/
Refused
11%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Don't know/
Refused
15%
Public Overestimates Share Of Budget Going To Foreign Aid
Just your best guess, what percentage of the federal budget is spent on foreign aid?

0-1%

4%

2-5%

12%

6-10%

13%

11-20%

15%

21-30%
31-40%
41-50%
51% or more
Don't know/Refused

14%

Average answer = 28%
of the federal budget
is spent on foreign aid

7%
8%
12%
17%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Information Can Change Perceptions About Amount Spent
On Foreign Aid
Do you think the U.S. is now spending too much, too
little, or about the right amount on foreign aid?

What if you heard that about one percent of the
federal budget is spent on foreign aid? Would you still
think that the U.S. is spending [too much/too
little/about the right amount] on foreign aid, or would
you now say that the U.S. spends…

Too little
13%
Too little
28%
About the
right amount
18%

Too much
30%

Too much
61%

About the
right amount
31%
Don't know/
Refused
7%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Don't know/
Refused
11%
Military Assistance Most Likely To Be Seen As Major Part
Of Foreign Aid
For each of the following, please tell me if you think it is a major part, a minor part, or not a part of U.S. foreign aid
spending:
Major part
Military assistance

Addressing health issues like HIV/AIDS,
tuberculosis, and malaria in developing
countries

Minor part

Not a part

65%

26%

47%

General support for the countries receiving aid
to use as they see fit

40%

Improving education in developing countries

39%

Building and strengthening infrastructure in
developing countries, such as building roads
and providing electricity

39%

42%

41%

48%

46%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

7%

8%

15%

10%

11%
Specificity Matters: More Support For Spending To
Improve Health Than Generic “Foreign Aid”
Do you think the U.S. is now spending too much, too
little, or about the right amount on foreign aid?

Do you think the U.S. is now spending too much, too
little, or about the right amount on efforts to improve
health for people in developing countries?

Too little
13%
About the
right
amount
18%

Don't
know/
Refused
7%

Too little
31%

Too much
30%

Too much
61%
About the
right
amount
30%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Don't
know/
Refused
9%
Trend In Views Of U.S. Spending On Health In Developing
Countries
Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for
people in developing countries?

Too much

80%

About the right amount

Too little

60%

40%

34%
26%

20%

0%

42%

39%

23%

March 2009

34%
28%

32%
25%

October 2009

32%
23%

August 2010

31%
30%
30%

21%

February 2012

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

August 2013
Public Sees Benefits For Protecting Americans’ Health And
Improving U.S. Image, Less So For Terrorism and Economy
Do you think spending money on improving health in developing countries [INSERT ITEM], or does it not have much
impact?
Yes, helps
Helps protect the health of Americans by
preventing the spread of diseases like
SARS, bird flu, and swine flu

Does not have much impact

68%

Helps improve the U.S. image around the
world

31%

54%

Helps U.S. national security by lessening
the threat of terrorism originating in
developing countries

38%

Helps the U.S. economy by improving the
circumstances of people who can buy
more U.S. goods

37%

45%

59%

59%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Moral Reason For Global Health Spending Trumps SelfInterest
Next, I’m going to read you some reasons why the U.S. might spend money on improving health for people in developing
countries, and I’d like you to tell me which you think is the most important reason.

Because it's the right thing to do

45%

To improve our diplomatic relationships

15%

To help the U.S. economy by creating new markets
for U.S. businesses

15%

To help ensure U.S. national security

To improve the U.S.'s image around the world

Other/None of these (vol.)

13%

8%

3%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Most Prefer U.S. To Participate In International Efforts
Which comes closer to your opinion? When giving aid to improve health in developing countries…

The U.S. should operate
on its own, so it has more
control over how money
is spent and gets more
credit and influence in
the country receiving aid
31%

The U.S. should
participate in
international efforts, so
other countries will do
their fair share and efforts
will be better coordinated
62%

Both/Neither/
Don’t know/Refused
6%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Economic Problems Continue To Make Public Wary Of
Increasing Global Health Spending
Which of the following comes closer to your view? Given the serious economic problems facing the country and the world
right now…
The U.S. cannot afford to spend more money on improving health for people in developing countries
It is more important than ever for the U.S. to spend more money on improving health for people in developing countries
80%

73%

71%
60%

65%

65%

31%

62%

31%

February 2012

August 2013

40%

33%
20%

0%

23%

March 2009

22%

October 2009

August 2010

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Most Support At Least Minor Reductions In Aid Spending
To Reduce Deficit
Percent who say they would support major, minor, or no reductions to spending on each of the following in order to
reduce the federal budget deficit:
Major reductions
Foreign aid

Minor reductions

47%

Salaries/benefits for federal government workers

33%

36%

Part of the 2010 health care law providing financial help
for low/moderate income to buy insurance

34%

Addressing health issues like HIV/AIDS, tuberculosis, and
malaria in developing countries

13%

Medicare

11%

Social Security

7%

34%

32%

32%

34%

14%

Public education

26%

22%

18%

Medicaid

16%

32%

31%

National defense

No reductions

44%

27%

55%

15%

71%

22%
19%

64%
70%

NOTE: Items asked of separate half samples. Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Global Health Survey Omnibus Supplement (conducted August 22-25, 2013)
Public Divided On Whether More Spending Will Lead To
Progress
In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in
improving health for people in developing countries, or that spending more money won’t make much difference?
Spending more money won't make much difference

Spending will lead to meaningful progress

80%

60%

51%

40%

40%

51%

43%

53%
49%

49%

46%

47%

August 2010

February 2012

44%

20%

0%

March 2009

October 2009

NOTE: Depends (vol.) and Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

August 2013
Most Say U.S. Aid Doesn’t Have Good “Bang For Buck”;
A Third Perceive Positive Impact On Self-Sufficiency
Thinking about the “bang for the buck” of U.S. spending
to improve health in developing countries, that is the
number of lives saved relative to the money spent. Would
you say the bang for the buck of this spending is:

For the most part, do you think that U.S. spending to
improve health in developing countries makes people
and communities in these countries more selfsufficient, less self-sufficient, or doesn’t have much
impact on how self-sufficient they are?

Excellent
4%

Poor
27%

Good
21%

Don't know/
Refused
10%
Only fair
39%

Less selfsufficient
24%

More selfsufficient
36%

Doesn't have
much impact
36%

Don't know/
Refused
4%
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Corruption Seen As Biggest Barrier To Improving Health In
Developing Countries
Percent who say that each is a major reason why it has been difficult to
improve health for people in developing countries:

Corruption and misuse of funds

83%

Widespread poverty

67%

Lack of political leadership

61%

Lack of infrastructure and resources

47%

14%

14%

52%

Lack of effective programs
Not enough money from the U.S. and
other wealthier countries

Which of these is the MOST
important reason why it has been
difficult to improve health for
people in developing countries?

47%

26%

10%

4%

5%

NOTE: None of these (vol.) and Don’t know/Refused answers not shown for follow-up question.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Reported Level Of Engagement In Global Health Issues
Over Time
Percent who say they do/have done each of the following:
Pay at least "some" attention to issues of health in developing countries
Donated money to an organization working on health in developing countries in past year
Pay "a lot" of attention to issues of health in developing countries
Volunteered for an organization working on health in developing countries in past year

100%

80%

74%

72%

75%
68%

64%

60%

49%

41%
40%

22%
20%

18%

19%

18%
12%

11%
0%

35%

34%

March 2009

October 2009

13%

12%

11%

August 2010

February 2012

August 2013

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Visibility Of U.S. Government Efforts Down Somewhat
Since 2010
During the last year, how much, if anything, have you personally seen, heard, or read about U.S. government efforts to
improve health for people in developing countries, such as those in Africa, Asia, and Latin America?
A lot

August 2013

15%

February 2012

14%

August 2010

21%

Some

33%

Only a little

Nothing at all

39%

31%

14%

41%

36%

13%

35%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

8%
Top Global Health Topics People Report Seeing In News:
Hunger, HIV/AIDS, Child Health, And Pandemics
During the last year, how much, if anything, have you personally seen, heard, or read in the news about each of the
following in developing countries?
A lot

Some

Hunger and malnutrition

Only a little

40%

Nothing at all

25%

28%

6%

HIV/AIDS

25%

26%

36%

12%

Children's health

24%

27%

35%

14%

Global pandemics, like the flu

24%

27%

33%

16%

The health of pregnant women and mothers
Family planning

Tuberculosis
Polio

15%
10%
7%

21%

34%

17%

35%

17%

7% 13%

29%
37%

36%
26%

40%
54%

NOTE: Items asked of half sample. Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
News Media Is Public’s Top Source Of Information On
Global Health
In the past year, how much information about the health of people in developing countries have you gotten from each of
the following?
A lot of information

Some information

The news media, including television,
newspaper, radio, and internet news

Non-profit organizations or charities

Churches or other religious instititutions

Not much information

28%

43%

17%

32%

14%

Conversations with friends and family

11%

Social media, like Facebook or Twitter

9%

None at all

29%

24%

27%

19%

28%

19%

22%

38%

31%

19%

30%

51%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

7%
Half Say News Media Spends Too Little Time On Global
Health; Coverage Seen As Mostly Balanced
Do you think the news media spends too much, too
little, or about the right amount of time covering issues
of health in developing countries?

In the past year, have you seen more negatives stories
or more positive stories in the news about efforts to
improve health for people in developing countries, or
has the number of stories been about the same?

Too much
12%

Too little
50%

Haven't seen
negative or
positive
stories
32%

About the
right amount
34%

Don’t know/
Refused
4%

Don't know/
Refused
2%

All or mostly
positive
stories
28%

All or mostly
negative
stories
26%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Both about
the same
13%
Bill and Hillary Clinton, Bill Gates, Barack Obama Stand Out
To Public As Leaders In Global Health
I’m going to read you a list of people, and I’d like you to tell me for each one whether you think this person stands out as a
leader in efforts to improve health for people in developing countries.

Yes, stands out as a leader

No, doesn't stand out as a leader

Former President Bill Clinton

Don't know/ Refused

70%

Bill Gates, the former CEO of Microsoft

63%

Former Secretary of State Hillary Clinton

24%

62%

President Barack Obama

Former President George W. Bush

Secretary of State John Kerry

25%

11%

32%

59%

6%

35%

41%

35%

6%

6%

54%

41%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

5%

24%
Views of Current Levels of U.S. Global Health Spending By
Party ID
Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for
people in developing countries?
Too much

Total

Democrats

Independents

Republicans

About the right amount

30%

24%

30%

31%

29%

30%

39%

Too little

40%

31%

30%

32%

20%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Democrats More Likely To Say Global Health Spending Will
Lead to Meaningful Progress
In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in
improving health for people in developing countries, or that spending more money won’t make much difference?
Will lead to meaningful progress

Total

44%

Democrats

53%

55%

Independents

Republicans

Won't make much difference

42%

45%

31%

53%

67%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Republicans More Likely To Perceive Negative Impact On
Self-Sufficiency
For the most part, do you think that U.S. spending to improve health in developing countries makes people and
communities in these countries more self-sufficient, makes them less self-sufficient, or doesn’t have much impact on how
self-sufficient they are?
More self-sufficient

Total

Doesn't have much impact on self-sufficiency

36%

Democrats

Independents

Republicans

36%

44%

36%

30%

24%

33%

36%

39%

Less self-sufficient

20%

25%

29%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
Few Say Global Health Spending Delivers Good “Bang for
the Buck”
Next, thinking about the “bang for the buck” of U.S. spending to improve health in developing countries, that is the
number of lives saved relative to the money spent. Would you say the bang for the buck of this spending is…?
Excellent

Total 4%

Democrats

Good

Only fair

21%

6%

39%

23%

42%

Poor

27%

20%

3%
Independents

24%

37%

28%

2%
Republicans

16%

41%

33%

NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

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2013 Survey of Americans on U.S. Global Health Policy Chartpack

  • 1. Terrorism, Human Rights Top Priorities For World Affairs; Many Others, Including Health, Rated Important I’m going to read you some different things the president and Congress might try to do when it comes to world affairs. As I read each one, tell me if you think it should be one of their top priorities, important but not a top priority, or not that important? One of the top priorities Important, but not top priority Fighting global terrorism Not that important 59% Protecting human rights 31% 54% Helping out in areas affected by natural disaster 9% 36% 43% 9% 50% Promoting opportunities for women and girls around the world 37% Protecting the environment and fighting climate change 36% Improving education in developing countries 35% 45% Improving health for people in developing countries 34% 49% Helping to reduce poverty in developing countries 34% 6% Promoting stability of global financial markets Promoting democracy in other countries Providing military assistance to developing countries 43% 36% 17% 25% 19% 16% 45% 31% 22% 18% 20% 46% 42% 41% NOTE: Some items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 19% 33% 39%
  • 2. All Health Priorities Seen As Important; Clean Water, Children’s Health, Nutrition Rise To Top I’m going to read you some different areas in which the U.S. might contribute to efforts to improve health in developing countries, and for each, I’d like you to tell me if this should be one of the top priorities, important but not a top priority, or not that important. One of the top priorities Important, but not top priority Not that important Improving access to clean water 64% Children's health, including vaccinations 29% 60% Reducing hunger and malnutrition 34% 57% Preventing and treating HIV/AIDS 6% 34% 49% Combating global pandemic diseases like swine flu 6% 8% 38% 43% 42% 11% 12% Building and improving hospitals and other health care facilities 40% 46% 13% Preventing and treating malaria 39% 48% 11% Preventing and treating tuberculosis 38% Eradicating polio 37% Efforts to reduce the number of women who die during childbirth Improving access to family planning, reproductive health Preventing and treating heart disease, other chronic diseases 48% 45% 35% 31% 29% 48% 43% 49% NOTE: Items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 12% 15% 15% 24% 21%
  • 3. Half Say Polio Eliminated In U.S., Three-Quarters Know It Has Not Been Eliminated In Rest Of World As far as you know, has the disease polio been eliminated in the U.S., or not? How about outside of the U.S., as far as you know, has the disease polio been eliminated in the rest of the world, or not? Yes 11% No 37% Yes 52% No 74% Don't know/ Refused 11% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) Don't know/ Refused 15%
  • 4. Public Overestimates Share Of Budget Going To Foreign Aid Just your best guess, what percentage of the federal budget is spent on foreign aid? 0-1% 4% 2-5% 12% 6-10% 13% 11-20% 15% 21-30% 31-40% 41-50% 51% or more Don't know/Refused 14% Average answer = 28% of the federal budget is spent on foreign aid 7% 8% 12% 17% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 5. Information Can Change Perceptions About Amount Spent On Foreign Aid Do you think the U.S. is now spending too much, too little, or about the right amount on foreign aid? What if you heard that about one percent of the federal budget is spent on foreign aid? Would you still think that the U.S. is spending [too much/too little/about the right amount] on foreign aid, or would you now say that the U.S. spends… Too little 13% Too little 28% About the right amount 18% Too much 30% Too much 61% About the right amount 31% Don't know/ Refused 7% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) Don't know/ Refused 11%
  • 6. Military Assistance Most Likely To Be Seen As Major Part Of Foreign Aid For each of the following, please tell me if you think it is a major part, a minor part, or not a part of U.S. foreign aid spending: Major part Military assistance Addressing health issues like HIV/AIDS, tuberculosis, and malaria in developing countries Minor part Not a part 65% 26% 47% General support for the countries receiving aid to use as they see fit 40% Improving education in developing countries 39% Building and strengthening infrastructure in developing countries, such as building roads and providing electricity 39% 42% 41% 48% 46% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 7% 8% 15% 10% 11%
  • 7. Specificity Matters: More Support For Spending To Improve Health Than Generic “Foreign Aid” Do you think the U.S. is now spending too much, too little, or about the right amount on foreign aid? Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries? Too little 13% About the right amount 18% Don't know/ Refused 7% Too little 31% Too much 30% Too much 61% About the right amount 30% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) Don't know/ Refused 9%
  • 8. Trend In Views Of U.S. Spending On Health In Developing Countries Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries? Too much 80% About the right amount Too little 60% 40% 34% 26% 20% 0% 42% 39% 23% March 2009 34% 28% 32% 25% October 2009 32% 23% August 2010 31% 30% 30% 21% February 2012 NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) August 2013
  • 9. Public Sees Benefits For Protecting Americans’ Health And Improving U.S. Image, Less So For Terrorism and Economy Do you think spending money on improving health in developing countries [INSERT ITEM], or does it not have much impact? Yes, helps Helps protect the health of Americans by preventing the spread of diseases like SARS, bird flu, and swine flu Does not have much impact 68% Helps improve the U.S. image around the world 31% 54% Helps U.S. national security by lessening the threat of terrorism originating in developing countries 38% Helps the U.S. economy by improving the circumstances of people who can buy more U.S. goods 37% 45% 59% 59% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 10. Moral Reason For Global Health Spending Trumps SelfInterest Next, I’m going to read you some reasons why the U.S. might spend money on improving health for people in developing countries, and I’d like you to tell me which you think is the most important reason. Because it's the right thing to do 45% To improve our diplomatic relationships 15% To help the U.S. economy by creating new markets for U.S. businesses 15% To help ensure U.S. national security To improve the U.S.'s image around the world Other/None of these (vol.) 13% 8% 3% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 11. Most Prefer U.S. To Participate In International Efforts Which comes closer to your opinion? When giving aid to improve health in developing countries… The U.S. should operate on its own, so it has more control over how money is spent and gets more credit and influence in the country receiving aid 31% The U.S. should participate in international efforts, so other countries will do their fair share and efforts will be better coordinated 62% Both/Neither/ Don’t know/Refused 6% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 12. Economic Problems Continue To Make Public Wary Of Increasing Global Health Spending Which of the following comes closer to your view? Given the serious economic problems facing the country and the world right now… The U.S. cannot afford to spend more money on improving health for people in developing countries It is more important than ever for the U.S. to spend more money on improving health for people in developing countries 80% 73% 71% 60% 65% 65% 31% 62% 31% February 2012 August 2013 40% 33% 20% 0% 23% March 2009 22% October 2009 August 2010 NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 13. Most Support At Least Minor Reductions In Aid Spending To Reduce Deficit Percent who say they would support major, minor, or no reductions to spending on each of the following in order to reduce the federal budget deficit: Major reductions Foreign aid Minor reductions 47% Salaries/benefits for federal government workers 33% 36% Part of the 2010 health care law providing financial help for low/moderate income to buy insurance 34% Addressing health issues like HIV/AIDS, tuberculosis, and malaria in developing countries 13% Medicare 11% Social Security 7% 34% 32% 32% 34% 14% Public education 26% 22% 18% Medicaid 16% 32% 31% National defense No reductions 44% 27% 55% 15% 71% 22% 19% 64% 70% NOTE: Items asked of separate half samples. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Global Health Survey Omnibus Supplement (conducted August 22-25, 2013)
  • 14. Public Divided On Whether More Spending Will Lead To Progress In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in improving health for people in developing countries, or that spending more money won’t make much difference? Spending more money won't make much difference Spending will lead to meaningful progress 80% 60% 51% 40% 40% 51% 43% 53% 49% 49% 46% 47% August 2010 February 2012 44% 20% 0% March 2009 October 2009 NOTE: Depends (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) August 2013
  • 15. Most Say U.S. Aid Doesn’t Have Good “Bang For Buck”; A Third Perceive Positive Impact On Self-Sufficiency Thinking about the “bang for the buck” of U.S. spending to improve health in developing countries, that is the number of lives saved relative to the money spent. Would you say the bang for the buck of this spending is: For the most part, do you think that U.S. spending to improve health in developing countries makes people and communities in these countries more selfsufficient, less self-sufficient, or doesn’t have much impact on how self-sufficient they are? Excellent 4% Poor 27% Good 21% Don't know/ Refused 10% Only fair 39% Less selfsufficient 24% More selfsufficient 36% Doesn't have much impact 36% Don't know/ Refused 4% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 16. Corruption Seen As Biggest Barrier To Improving Health In Developing Countries Percent who say that each is a major reason why it has been difficult to improve health for people in developing countries: Corruption and misuse of funds 83% Widespread poverty 67% Lack of political leadership 61% Lack of infrastructure and resources 47% 14% 14% 52% Lack of effective programs Not enough money from the U.S. and other wealthier countries Which of these is the MOST important reason why it has been difficult to improve health for people in developing countries? 47% 26% 10% 4% 5% NOTE: None of these (vol.) and Don’t know/Refused answers not shown for follow-up question. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 17. Reported Level Of Engagement In Global Health Issues Over Time Percent who say they do/have done each of the following: Pay at least "some" attention to issues of health in developing countries Donated money to an organization working on health in developing countries in past year Pay "a lot" of attention to issues of health in developing countries Volunteered for an organization working on health in developing countries in past year 100% 80% 74% 72% 75% 68% 64% 60% 49% 41% 40% 22% 20% 18% 19% 18% 12% 11% 0% 35% 34% March 2009 October 2009 13% 12% 11% August 2010 February 2012 August 2013 SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 18. Visibility Of U.S. Government Efforts Down Somewhat Since 2010 During the last year, how much, if anything, have you personally seen, heard, or read about U.S. government efforts to improve health for people in developing countries, such as those in Africa, Asia, and Latin America? A lot August 2013 15% February 2012 14% August 2010 21% Some 33% Only a little Nothing at all 39% 31% 14% 41% 36% 13% 35% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 8%
  • 19. Top Global Health Topics People Report Seeing In News: Hunger, HIV/AIDS, Child Health, And Pandemics During the last year, how much, if anything, have you personally seen, heard, or read in the news about each of the following in developing countries? A lot Some Hunger and malnutrition Only a little 40% Nothing at all 25% 28% 6% HIV/AIDS 25% 26% 36% 12% Children's health 24% 27% 35% 14% Global pandemics, like the flu 24% 27% 33% 16% The health of pregnant women and mothers Family planning Tuberculosis Polio 15% 10% 7% 21% 34% 17% 35% 17% 7% 13% 29% 37% 36% 26% 40% 54% NOTE: Items asked of half sample. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 20. News Media Is Public’s Top Source Of Information On Global Health In the past year, how much information about the health of people in developing countries have you gotten from each of the following? A lot of information Some information The news media, including television, newspaper, radio, and internet news Non-profit organizations or charities Churches or other religious instititutions Not much information 28% 43% 17% 32% 14% Conversations with friends and family 11% Social media, like Facebook or Twitter 9% None at all 29% 24% 27% 19% 28% 19% 22% 38% 31% 19% 30% 51% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 7%
  • 21. Half Say News Media Spends Too Little Time On Global Health; Coverage Seen As Mostly Balanced Do you think the news media spends too much, too little, or about the right amount of time covering issues of health in developing countries? In the past year, have you seen more negatives stories or more positive stories in the news about efforts to improve health for people in developing countries, or has the number of stories been about the same? Too much 12% Too little 50% Haven't seen negative or positive stories 32% About the right amount 34% Don’t know/ Refused 4% Don't know/ Refused 2% All or mostly positive stories 28% All or mostly negative stories 26% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) Both about the same 13%
  • 22. Bill and Hillary Clinton, Bill Gates, Barack Obama Stand Out To Public As Leaders In Global Health I’m going to read you a list of people, and I’d like you to tell me for each one whether you think this person stands out as a leader in efforts to improve health for people in developing countries. Yes, stands out as a leader No, doesn't stand out as a leader Former President Bill Clinton Don't know/ Refused 70% Bill Gates, the former CEO of Microsoft 63% Former Secretary of State Hillary Clinton 24% 62% President Barack Obama Former President George W. Bush Secretary of State John Kerry 25% 11% 32% 59% 6% 35% 41% 35% 6% 6% 54% 41% SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013) 5% 24%
  • 23. Views of Current Levels of U.S. Global Health Spending By Party ID Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries? Too much Total Democrats Independents Republicans About the right amount 30% 24% 30% 31% 29% 30% 39% Too little 40% 31% 30% 32% 20% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 24. Democrats More Likely To Say Global Health Spending Will Lead to Meaningful Progress In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in improving health for people in developing countries, or that spending more money won’t make much difference? Will lead to meaningful progress Total 44% Democrats 53% 55% Independents Republicans Won't make much difference 42% 45% 31% 53% 67% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 25. Republicans More Likely To Perceive Negative Impact On Self-Sufficiency For the most part, do you think that U.S. spending to improve health in developing countries makes people and communities in these countries more self-sufficient, makes them less self-sufficient, or doesn’t have much impact on how self-sufficient they are? More self-sufficient Total Doesn't have much impact on self-sufficiency 36% Democrats Independents Republicans 36% 44% 36% 30% 24% 33% 36% 39% Less self-sufficient 20% 25% 29% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)
  • 26. Few Say Global Health Spending Delivers Good “Bang for the Buck” Next, thinking about the “bang for the buck” of U.S. spending to improve health in developing countries, that is the number of lives saved relative to the money spent. Would you say the bang for the buck of this spending is…? Excellent Total 4% Democrats Good Only fair 21% 6% 39% 23% 42% Poor 27% 20% 3% Independents 24% 37% 28% 2% Republicans 16% 41% 33% NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)