Dr Grant aptly describes the powerful groups that profit from health care's current woes. Yet these woes also inflict suffering on a widening array of Americans. Increasing, numbers of those with private coverage are underinsured. Millions of seniors find vital medications unaffordable. Many employers face annual double-digit premium increases and are tempted to shift costs to their workers. And as costs rise, insurers will increasingly pressure physicians and hospitals to cut fees and limit care. Hence, the potential coalition for national health insurance includes most Americans, many physicians, and even some major corporations—not just the 40 million uninsured.