As health care reform becomes law and we either A) become a socialist nation on the brink of collapse, or B) like every other first and second-rate country in the world and have something approximating universal health insurance, it’s time to ask a really frank and important question.

Are Americans too uninformed to be part of the process? OK that’s a little over the top but after the last year it’s really difficult for someone who’s spent a career trying to find the facts and then report them to watch the media, the pollsters, and the people follow each other down the rabbit hole into a world where every opinion is valid while every fact is either suspect or not worth our time.

Let’s ponder the polls on health care reform from just the last three frenzied weeks. It says a lot about what we’ve become.

Fox News’s last poll had some interesting wording:

Some Americans choose not to buy health insurance even though they can afford it. The president’s plan requires all Americans who can afford it to have some form of health insurance or else pay a penalty. Failure to pay the penalty would result in an even larger fine, a jail sentence of up to one year, or both. Do you think the government should be able to require all Americans who can afford it to have health insurance or pay a penalty, or not?

Yes                     29%

No                      68%

That was the sixth question Fox asked after the generic approve/disapprove and better/worse queries. I would have liked to see them follow with the same question but substituting “auto insurance” for “health insurance”. Alas that kind of thing was not on Fox’s agenda. For instance check out this one:

Some people think President Obama is showing strong leadership in his efforts to pass health care legislation by staying the course even in the face of opposition, while other people think he is showing stubbornness by ignoring opposition to the health care proposals and moving ahead anyway. Which is closer to your view?

Stubborn? Love that. Nowhere did Fox ask if people knew any facts about the bill. Not on the agenda.

I like this from CBS:

Do you feel you have a good understanding of how the current health care reform bill would affect you and your family, or is it confusing to you?

Good Understanding                       42%

Confusing                                        54%

So where’s the follow-up? Something like, “Why are you confused?” or “Who do you think made you confused?” or “Have you read anything other than headlines about the bill?” I guess it would have been too easy to ask if people thought the news media had done a good job of making the bill clear.

On the other hand CBS got an odd answer to this question:

Do you think Democrats who have been trying to pass the current health care bill have done so mainly because they believe it is good policy for the country, or mainly for political reasons?

Good Policy                                   35%

Political Reasons                           57%

Really? I guess the news that this is “political suicide” for Democrats hasn’t penetrated despite it becoming almost overnight conventional wisdom from the New York Times to Fox News.

The best poll by far was the one done by a health policy organization. The Kaiser Family Foundation Health Tracking Poll not only asked probing questions about what Americans think about the health care bill but also importantly what they know about it. Here are two:

As far as you know, has the independent Congressional Budget Office which analyzes the cost of legislation said the health reform legislation currently being discussed in Congress will increase the federal budget deficit over the next ten years, decrease the deficit over the next ten years, or is it not expected to have much impact on the deficit?

As far as you know, if Congress and the president did pass a health care reform bill, would most people who currently get health insurance coverage through their employers keep their existing health insurance arrangements or would most people have to change their existing health insurance arrangements?

On the first one 55% got it wrong and 15% got it right. (The CBO said it would decrease the deficit) while 48% got the second one right and 41% got it wrong (the bill would be unlikely to have much impact on people with company plans). Neither result is particularly reassuring that Americans know very much about what they are being asked to opine on.

Another interesting question came from the AP-GFK poll early in March. This one pointed up the childlike unfocused unhappiness of many Americans when it comes to health care (and I would argue a lot of other things but we’ll save that for another day):

How much, if at all, should the health care system in the United States be CHANGED? Would you say it should be changed a great deal, a lot, a moderate amount, a little, or not at all?

Great Deal                                  31%

A Lot                                           19%

Moderate Amount                       32%

A Little                                         13%

Not at All                                       4%

So 50% think the system needs significant change and 82% think it needs to change at least some. But how? AP didn’t ask. Probably because the leading answer would have been, “I don’t know but in some way that makes everyone happy.”

Instead we got some real gems like this one from CNN/Opinion Research Corp asked of those who said they oppose the final bill:

Do you oppose that legislation because you think its approach toward health care is too liberal, or because you think it is not liberal enough?

Liberal? The bill is a lot of things but “conservative” or “liberal” it is not. Those political terms are almost meaningless when you’re talking about politicians let alone a huge and complex reworking of one of the largest sectors of the U.S. economy. If you disagree then answer this: Is Medicare a “liberal” or “conservative” program? I’m gonna bet you wouldn’t get many of those aging Tea Party folks to say it’s “liberal” since most of them seem to be old enough to be getting their health care through Medicare.

Of course the pollsters don’t really deserve as much blame as their clients since that’s who pays the bills and signs off on how many questions will be asked. The fact that none of these news organizations was interested in finding out what, if anything, Americans knew about the health care reforms that will change a huge part of our economy and social system is a damning indictment on their failure to report both about the bill and the public’s failure to be responsible citizens.

Lest you think this is all much ado about nothing watch this video from an anti-health reform rally in Washington last week:

I’ve asked literally tens of thousands of questions to people over the years about what they think of political and policy decisions and this is not rare. This isn’t a conservative, liberal, rural, urban, racial, or anything else problem. This is an American problem. Everyone’s got an opinion but almost no one has an intelligent opinion yet all are treated equally. Everyone deserves to be heard. Right? Well, no.

What does it say about us as a country that both the pollsters and the polled appear appear to be completely and totally divorced from the “reality-based” world, and doesn’t care?