Americans Losing Confidence in Employer-Based Health System

Design and conduct of the Health Confidence Survey

From 1998 to 2003, the Employee Benefit Research Institute conducted six annual Health Confidence Surveys (1998 to 2003) to describe public opinions about health care in the United States and how they change over time.

The institute is a Washington-based organization that conducts research and education on economic security and employee benefits issues.

Key Conclusions: The 2003 Health Confidence Survey Summary of Findings included the following conclusions:

  • "Data from the 2003 Health Confidence Survey show that satisfaction with health care in the United States remains stable, while confidence in the future of health care in this country is declining."
  • "Americans continue to become less confident about certain aspects of health care as they look to the next 10 years and to the future of the Medicare system."
  • "Americans, especially older Americans, are concerned about the cost of prescription drugs."
  • "Americans are becoming less confident that the current employment-based health insurance system—which provides coverage to the vast majority of health plan participants in the United States—will continue to provide coverage in the future, and a large proportion are not confident that they could afford to purchase coverage if their employer stopped offering it."