The results of an Zogby International email poll published in the October 2007 "Fortune Small Business" indicates that among entrepreneurs a plurality (47%) believe Health Insurance reform is either in first or second place when it comes to presidential candidate priorities. This is significant in that among this group, taxes would be expected to be a higher priority under normal circumstances.

Of possible health care systems, a plurality (34%) preferred Universal Health Care administered by the government. This ranked higher than Consumer driven systems, tax incentives coupled with purchase requirements and Universal Health Care administered by private insurers. If this poll is any indication, small business is coming to the realization that they have no control. Already many have realized that continuing to feed this beast is counterproductive. Ultimately too many more businesses will stop purchasing insurance and then the full magnitude of the crisis will be brought home to everyone.

Business ultimately bears all the cost and they are changing their view. We need more than plans and ideas. We need demonstration projects that can show effectiveness of various ideas before the crisis is upon us. Short of that, when the crisis arrives in full force, the risk is that we will continue with the current 'bad' system encased in inflexible rules.