AND, TO ADD TO THE CONFUSION AND CONTROVERSY, THE POLL FOUND
7. 75 percent of respondents said they were concerned that the cost of their own health care would eventually go up if the government DID NOT create a system of providing health care for all Americans. But in another finding, 77 percent said they were concerned that the cost of health care would go up if the government DID create such a system.
The Desires of the People
So, what do the hundreds of millions of Americans with health care coverage really want to hear? They do not want paying for the last 15 percent to deteriorate their coverage or even be rationed.
First, when Washington does anything of such size (20 percent of the economy) that it directly touches the lives of most Americans, they had better be authentically bipartisan. Otherwise, one party will torpedo the other. The system cannot stay more or less intact with no credible effort is made at cutting costs. The reform must be big and sweeping, not just small incremental progress. (Mike Murphy, political strategist)
"Reducing cost and improving quality are equally important to expanding coverage. When too much of the discussion is focused on extension of coverage and the taxes to pay for it, more people peel off from supporting reform." (Mark Penn, “Microtrends: The Small Forces Behind Tomorrow’s Big Changes.”)
So, any effective campaign for reform must explain (if true) that people with coverage now will experience no change in their ability to have their current plan unless they want change. “No change” is what most people want to hear. And, they want to have this happen without turning the issue into class warfare. Cost, quality and coverage must be addressed as equal concerns.
And, according to Harold Pollack, Professor of Social Service Administration at the University of Chicago adds, new policy must "puncture complacency about an unsustainable status quo." Without effective regulation, people have no real way to know good insurance will remain affordable for them and for their employers.
In addition, the plan must reassure nervous seniors who have been told by some that the President would ration care to finance universal coverage by using deep Medicare cuts.