When I was in the US the debate on changes to medical care was huge but the anoying thing was the misinformation around especially of other health care systems around the world. For instance

The lie:
Stephen Hawking (who has Lou Gehrig's disease) would not receive treatment in Britain, which has a government-run health-care system.

The liars:
An editorial in Investor's Business Daily on July 31 claimed: "People such as scientist Stephen Hawking wouldn't have a chance in the U.K., where the National Health Service [NHS] would say the life of this brilliant man, because of his physical handicaps, is essentially worthless."

The debunking: Hawking, who is British, receives intensive treatment for his degenerative motor neuron disease at a local Cambridge hospital. Upon hearing the rumors of his non-treatment, the prizewinning theoretical physicist told The Guardian, "I wouldn't be here today if it were not for the NHS. I have received a large amount of high-quality treatment without which I would not have survived."

It is tough to make decisions when opponents are deliberately spreading misinformation.