Fear of disruption has long dominated the politics of health care. People seem to have a strong, and reasonable, preference that their health-insurance arrangements not be up-ended by the ideological schemes of politicians.
That's been an obstacle to left-wing dreams of a single-payer system and right-wing dreams of an individually based market to replace the insurance most people get from their employer. The Affordable Care Act took its worst P.R. hit when President Barack Obama's promise that people who liked their existing insurance could keep it turned out to be false.
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