Grid: Individual Mandate

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Goal

Expand public support in your state for health reform and the health law.

Objectives

(1) Inform the public on the law's specific reforms and how the reforms will benefit them/their families
(2) Message proactively on the mandate requirement of the law
(3) Respond to attacks/untruths about the mandate requirement of the law

Concern/Attack Key Audiences Best Messenger(s) Best Message(s)
Mandate and our personal freedoms

"This is big government telling me what I need to do."

Base; persuadable public (blue collar working women, Latinos, under 40); rural communities; small business owners and employees; legislators and elected officials Member of the community (representing the 'persuadable' public) with a story of how the law will benefit them; doctors/nurses Tap into individual responsibility to blunt opposition:

"The law asks all of us to take responsibility for our healthcare - and to make our healthcare system fairer and more efficient. Those who choose to play roulette—who are uninsured and use the more costly emergency room for routine care—are increasing costs for the rest of us who have health insurance. These costs put an unfair burden on hard-working taxpayers, as well as the efficiency of our healthcare system."

Then move to a personal story that wraps around a benefit(s) of the law:

"While the law asks us to take responsibility for ourselves and our families, it reduces barriers and provides important benefits. My neighbor's daughter, who has suffered with asthma for years – a pre-existing condition, will finally get insurance and get the care she needs. The law now bans denial of coverage due to pre-existing conditions for children."

Mandate and affordability

"Government can't make us buy something we can't afford."

Persuadable public (Latinos, working women, under 40 year olds); small business owners and employees; rural communities; legislators Member of the community (representing the 'persuadable' public) with a story of how the law will benefit them; small business owners Tap into individual responsibility to blunt opposition:

"Yes the law asks us to take responsibility for our healthcare. But the law also recognizes that many hardworking Americans and many recently unemployed folks just can't afford coverage. That's why the law also provides tax credits and a sliding scale for premiums." Tout the strict affordability protection in the individual mandate (no one has to pay more than 8% of income on health insurance under the law).

Then move to a personal story that wraps around a benefit(s) of the law:

"I work for a small business that had to cut our health insurance last year. It's been tough on me and my family. But I'm thankful that this law is going to help provide healthcare for my family again and that I can at least relax knowing I will only pay what I can afford. That seems fair to me."

Mandate and the ability to enforce the law

"What's the sense of passing a law that's impossible to enforce. It's not fair to make someone buy something they don't want and the bureaucracy they will create to tax folks who don't comply is outrageous."

Base; persuadable public (women, Latinos, seniors, and under 40)); rural communities; small business owners and employees; legislators Member of the community (representing the 'persuadable' public) with a story of how the law will benefit them; small business owners Tap into individual responsibility to blunt opposition:

"The law has been ruled constitutional by a federal judge and where it has been tried in other states, 97% of the population is now insured and insured people are not paying for the uninsured through their insurance costs. It's about time that people who haven't taken responsibility for their healthcare are asked to step up to the plate."

Then move to a personal story that wraps around a benefit(s) of the law:

  1. No more pre-existing condition exclusions
  2. No longer being dropped from coverage
  3. No lifetime caps on coverage
  4. No co-pays for preventive care
  5. Tax credits for small businesses to buy their employees insurance
  6. Support for Medicare recipients to stay home instead of going into a nursing home.

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