http://www.nytimes.com/2009/06/21/health/policy/21poll.html?_r=3&partner=rss&emc=rss June 21, 2009 In Poll, Wide Support for Government-Run Health By KEVIN SACK and MARJORIE CONNELLY Americans overwhelmingly support substantial changes to the health care system and are strongly behind one of the most contentious proposals Congress is considering, a government-run insurance plan to compete with private insurers, according to the latest New York Times/CBS News poll. The poll found that most Americans would be willing to pay higher taxes so everyone could have health insurance and that they said the government could do a better job of holding down health-care costs than the private sector. Yet the survey also revealed considerable unease about the impact of heightened government involvement, on both the economy and the quality of the respondentsâ own medical care. While 85 percent of respondents said the health care system needed to be fundamentally changed or completely rebuilt, 77 percent said they were very or somewhat satisfied with the quality of their own care. That paradox was skillfully exploited by opponents of the last failed attempt at overhauling the health system, during former President Bill Clintonâs first term. Sixteen years later, it underscores the tricky task facing lawmakers and President Obama as they try to address the health systemâs substantial problems without igniting fears that people could lose what they like. Across a number of questions, the poll detected substantial support for a greater government role in health care, a position generally identified with the Democratic Party. When asked which party was more likely to improve health care, only 18 percent of respondents said the Republicans, compared with 57 percent who picked the Democrats. Even one of four Republicans said the Democrats would do better. The national telephone survey, which was conducted from June 12 to 16, found that 72 percent of those questioned supported a government-administered insurance plan â something like Medicare for those under 65 â that would compete for customers with private insurers. Twenty percent said they were opposed. Republicans in Congress have fiercely criticized the proposal as an unneeded expansion of government that might evolve into a system of nationalized health coverage and lead to the rationing of care. But in the poll, the proposal received broad bipartisan backing, with half of those who call themselves Republicans saying they would support a public plan, along with nearly three-fourths of independents and almost nine in 10 Democrats. The poll, of 895 adults, has a margin of sampling error of plus or minus three percentage points.