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Health care survey results assume party lines

You have to wonder if we're all using the same doctors and hospitals when 68 percent of Republicans say they think our health care system is the best in the world, while only 32 percent of Democrats and 40 percent of independents would make that claim.

The surprisingly wide disparity in perception was revealed in a poll released in March by the Harvard School of Public Health and Harris Interactive. The poll also found that nearly three quarters of Republicans believed that patients in the United States get better quality care and face shorter waiting times to see specialists or be admitted to a hospital than do their counterparts in Canada, France, or Great Britain. Less than half of Democrats and independents felt that way.

The telephone survey of 1,026 adults found that Democrats and independents were more pessimistic than Republicans on every measure of health care performance. When it came to the cost of health care, however, all parties agreed: It's a problem. Just 26 percent of respondents said we do a better job of making sure everyone can get affordable health care than the three countries -- Canada, France, and Great Britain -- with health-care systems most often compared with ours. And only 21 percent said we're better at controlling health-care costs.

Although the United States spends more per capita on health care than other countries, many studies have found that the extra expenditures don't always pay off in better health for its citizens. For example, in a report in the January/February issue of the journal Health Affairs, researchers at the London School of Hygiene and Tropical Medicine found that the United States ranked last among 19 industrialized countries in preventable deaths -- those that shouldn't occur when people get timely, effective care.

More than half of Democratic respondents to the new Harvard/Harris poll said they'd be more likely to support a candidate who said our health care system should be more like systems in other countries. Thirty-seven percent of independents agreed. But, perhaps unsurprisingly, given their rosy perception of the U.S. health care system, fewer than 1 in 5 Republicans said they'd be more likely to support such a candidate.