Added to the preferred hierarchy of seating arrangements is the “X” factor. These are the often-out-of-your-control occurrences. In the American Healthcare “System”, these are the tectonic plates moving under our feet, which lead to earthquakes. These are the movements that disrupt American Healthcare in Transition and keep it in ‘transition.’ And make no mistake about it, there be earthquakes here.
What are the tectonic plates currently roiling under your feet?
The February 2018 Kaiser Foundation Health Tracking Poll found that 22 percent of registered voters and 23 percent of registered voters in battleground states list health care costs as their number one concern.
The subtext concerns include Medicare, repealing or opposition to the Accountable Care Act (ACA), improving how health care is delivered, increasing access to health care insurance and a single-payer system.
A Business Insider poll broke down the various subsets of concerns:
A third of voters appear to be very concerned about losing the benefits of Medicare and or Medicaid. Twice that percentage (63 percent) were concerned about being able to see the doctor of their choice. Cost seemed to be the driving concern with 65 percent saying that they were very concerned about the out of pocket dollars being spent. This particular concern appears to cut across all age groups, party lines, social standing, and ethnic groups. The biggest subset of cost that reached the very concerned level of apprehension centered around prescription drug cost (58 percent).
The July 2018 Kaiser Family Foundation poll reported out some of the earlier issues as well as additional healthcare concerns.
The biggest health care concerns appear to be the issue of pre-existing conditions and lowering drug prices.
“With less than four months to go until the Congressional midterm general election, a candidate’s position on continuing protections for people with pre-existing health conditions is at the forefront of the many health care issues on voters’ minds.”
A word about how the voting public seems to feel about the Affordable Care Act
The February 2018 Kaiser Health Tracking Poll found a slight increase in the share of the public who say they have a favorable view of the 2010 Affordable Care Act (ACA).  Democrats (over 80 percent) and Independents (55 percent) tend to support its survival while Republicans (just under 80 percent) do not.
The next few blogs will look at each of these issues in some greater depth. So please stay tuned.
 Kaiser Family Foundation Health Tracking Poll (February 15-20, 2018)
 https://www.kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-february-2018-health-care-2018-midterms-proposed-changes-to-medicaid/(February 2018 poll)