Table 4.
Qualitative Responses: Survivors' and Siblings' Concerns and Hopes About the New Health Care Reform Law

| Concerns | Hopes |
|---|---|
| Cost of coverage | |
| Cost increase on an individual level | Cost savings on an individual level (affordability) |
| Affordability | |
| Increased premiums | |
| Increase to those with pre-existing conditions | |
| Expense to the country/those who pay for insurance | Cost savings to the country |
| Insurance coverage | |
| Decreased access to insurance coverage | Increased access to insurance coverage |
| Uncertain who will qualify | More people will have access |
| Exclusions for those with pre-existing conditions | No exclusions for those with pre-existing conditions |
| Decreased reliance on employment/decreased job lock | |
| Reduced comprehensiveness of coverage | Improved comprehensiveness of coverage |
| Cuts in benefits | Expansion of benefits |
| Decreased quality of coverage | Quality with affordability |
| Decreased continuity of coverage | Longer coverage for dependents |
| Uncertainty about content of coverage | |
| Changes to Medicaid | |
| Changes to Medicare | |
| Changes to long-term disability | |
| Access to care | |
| Harder to access medical services | Improved access to medical care for more people |
| Dearth of care as a result of increase in number of insured | |
| Unable to access and retain physicians of choice/quality | |
| Quality of care | |
| Decrease in quality of medical services | Quality while still being affordable |
| Systems | |
| Government involvement in health care/individual mandate | Improve regulation/identify causes of high medical costs |
| Employment | |
| Negative impact on employers and employees | |
| Cuts in employer-sponsored coverage |