money * low information voters * paranoid messages = tea party Also, around 80% of people are in private insurance plans through a plan at work. Some fraction

money * low information voters * paranoid messages = tea party Also, around 80% of people are in private insurance plans through a plan at work. Some fraction of these people are happy with their HMO or PPO. These are the middle class and upper middle class or rich. They are also politically resistant. The support for national health care or even single payer would come from the uninsured and people who have lower-end insurance (high deductible plans) and are forced into a kind of expensive PPO (insurance that makes you pay most of the costs of doctor visits). Hilary Clinton's single payer plan was demolished by the insurance industry. So this time around, they kept insurance companies in the reforms. That negated some of the resistance from the well-insured.