根据Axios-Ipsos美国健康指数对美国成年人的最新调查，“全民医保”支持者现在几乎是反对者的两倍。
Supporters of "Medicare for All" now outnumber opponents by nearly 2-to-1, according to a new survey of U.S. adults from the Axios-Ipsos American Health Index
全景：三分之二的所有调查受访者 — — 以及一半的共和党人表示，联邦政府应该愿意花更多税款来降低美国人的医疗费用。
The big picture: Two-thirds of all survey respondents — and half of Republicans — said the federal government should be willing to spend more tax dollars to lower health care costs for Americans.
为何重要：距离中期选举仅剩三周，私人健康保险费用和处方药价格正压垮选民，这些发现暗示了摇摆州候选人若拥抱社会化医疗可走的一条道路。
Why it matters: With three weeks to go before the midterm elections, and private health insurance premiums and prescription prices crushing voters, these findings suggest a path for swing-state candidates who embrace socialized medicine.
- 但公众的开放态度更多源于绝望而非对政府的信任。可负担性是大多数美国人最关心的问题，医疗几乎每天都在提醒人们经济压力。
• But the public's openness is driven more by desperation than by confidence in government. Affordability is foremost on most Americans' minds, and health care brings almost daily reminders of economic pressure.
读解：调查受访者表示他们希望政府干预更多 — — 但他们对这些领导人的信任程度比以往任何时候都低。
Between the lines: Survey respondents say they want more government intervention — but they trust those leaders less than ever.
- 他们对特朗普总统提供健康相关信息的信任降至调查低点的20%。
• Trust in President Trump for health-related information fell to a survey low of 20%.
- 他们对卫生部长罗伯特·F·肯尼迪 Jr.的信任降至调查低点的25%。
• Trust in Health Secretary Robert F. Kennedy Jr. fell to a survey low of 25%.
- 他们对国会共和党人（20%）和民主党人（25%）的信任也处于低点。
• Trust in congressional Republicans (20%) and Democrats (25%) also were at lows. By the numbers:
数据说话： 43%的美国人表示他们支持建立“全民医保”计划的想法，以提供政府运营的健康保险给所有人， largely 取代私人健康保险；24%反对这一想法，32%表示他们不确定。
43% of Americans said they support the idea of establishing a "Medicare for All" program to provide government-run health insurance to all, largely replacing private health insurance; 24% oppose the idea and 32% say they aren't sure.
- 几乎一半的独立人士（47%）支持它，民主党人中有62%支持。
• Nearly half of independents (47%) support it, as do 62% of Democrats.
- 21%的共和党人支持全民医保，27%持犹豫态度，而反对这一想法的共和党人占52%。
• 21% of Republicans support Medicare for All, and 27% are undecided, compared with 52% who oppose the idea. The other side:
另一方：反对者表示，他们的首要原因是担心全民医保的医疗质量会比私人保险更差。
Opponents said their top reason is they fear Medicare for All would have a worse quality of care than private insurance.
- 其他原因包括：他们认为这会让纳税人负担过重；政府不应提供医疗；或者这会导致政府规模过度扩张。
• Other reasons were feeling it would become too expensive for taxpayers; that government should not be providing health care; or that it would expand the size of government too much.
- 但对这一想法的抵制与最近的竞选周期相比发生了显著变化，当时中间派民主党人更倾向于接受公共健康保险选项或一种包含私人保险作用的全民医保版本。
• But resistance to the idea has changed markedly from recent campaign cycles, when centrist Democrats were likelier to embrace a public health insurance option or a version of Medicare for All with a role for private insurance.
我们正在关注的内容：受访者表示，如果候选人支持扩大政府对医疗费用的补贴、恢复今年初到期的《平价医疗法案》增强税收抵免以及扩大处方药折扣平台，他们今年更有可能支持国会候选人。
What we're watching: Respondents said they'd be more likely to support congressional candidates this year if those candidates favored expanding government subsidies of health care costs, reinstating enhanced Affordable Care Act tax credits that expired at the beginning of this year and expanding prescription drug discount platforms.
- 共和党人的支持度低于民主党人和独立人士。但在扩大政府对医疗费用补贴的问题上，共和党内部存在分歧：31%的人更可能支持持该观点的候选人，29%的人更不可能支持，31%的人表示这不会产生影响。
• Republicans are less supportive than Democrats and independents. But the GOP is divided over expanding government subsidies for health care costs, with 31% more likely to back a candidate who supports the idea, 29% less likely and 31% saying it would make no difference.
- 一半的受访者表示，如果候选人得到制药和药品公司的支持，他们更不可能支持该候选人，而只有7%的人表示他们更可能支持。
• Half of respondents said they'd be less likely to support a candidate backed by pharmaceutical and drug companies, compared with 7% saying they'd be more likely.
“医疗保健是人们每天感受到经济压力的重要方式之一，” Ipsos美国公共事务副总裁Mallory Newall 说。
"Health care is one of the significant ways that people experience economic pressure every day," said Mallory Newall, Ipsos vice president for U.S. public affairs.
- “'全民医保'仍然是许多美国人存在疑问的问题” 以及 “回答'不确定'的美国人比例表明，人们的态度尚未完全形成，” Newall 说。尽管如此，当前的支持水平是“值得关注的——并且不仅仅由民主党成员推动，” 她补充道。
• "'Medicare for All' is still something that many Americans have questions on" and "the amount of Americans answering 'not sure' tells me people's sentiments aren't fully formed," Newall said. Still, the current level of support is "noteworthy — and it is not solely driven by members of the Democratic Party," she added.
- 根据候选人的党派归属或其选区构成，”也许他们不会称其为'全民医保'，” Newall 说。但扩大联邦项目以覆盖更多美国人的医疗费用 “是一种在本轮选举中能够与选民产生共鸣的信息。”
• Depending on the candidate's party affiliation or the makeup of their district, "Maybe they don't call it 'Medicare for All,'" Newall said. But expanding federal programs to cover more Americans' health costs "is a message that can connect with voters during this cycle."