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- Health care reform in the United States General Debate for and against Drug prices History Public opinion Uninsured Specific bills America's Affordable Health Choices Act of 2009 (not single payer) Healthy Americans Act United States National Health Care Act (single payer) Systems Canadian and American health care systems compared Free-market health care Health insurance exchange National health insurance Publicly-funded health care Single-payer health care Two-tier health care Universal health care Reform advocacy groups American Medical Student Association California Nurses Association/National Nurses Organizing Committee Health Care for America NOW! Healthcare-NOW! National Physicians Alliance Physicians for a National Health Program Health care in the United States This box: view • talk • edit Public opinion on health care reform in the United States is mixed. A majority of Americans express a desire for health care reform because they see it as too expensive and because they perceive that insurance companies avoid meeting health costs through coverage exclusions, caps, and co-pays. They also express concern that the system as a whole does not cover everyone and that many people are under-insured or uninsured. A majority support the creation of a government-run insurance plan to compete with private insurers, known as a public option. Medicare also has received some criticism from the public due to the so-called Medicare Part D 'doughnut hole'. However, a majority say they say that they are satisfied with the health care they personally receive. A majority also expresses concern about the effect of moving away from the current system. Views of health care reform vary significantly by party affiliation. Many Democrats in Congress support setting up a single payer healthcare system. The majority of Democrats in Congress have however coalesced around a policy of private insurance reform involving the creation of a government group insurance plan to compete alongside private insurers. Republicans, along with some Blue Dog Democrats, do not support either reform proposal. Republican Party members in Congress have not coalesced around a single policy of their own for health care reform other than that of opposing the Democratic bills currently in progress. The Wyden-Bennett Act, which would shift the system from employer based private insurance to individual private plans, has attracted some support. Some legislators on both sides of the political divide would like to see medical malpractice and Medicare payment reform, believing that these could generate significant benefits, but medical malpractice reform is currently rejected by most Democrats. Perhaps more important than the views of legislators on public opinion are the views expressed in the media, in the news, and in advertising and information campaigns directed at them. Polling results have changed somewhat from before the 2008 election of President Barack Obama to afterward.
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