The most important fundamental is that 68% of American voters have health-insurance coverage they rate good or excellent. That number comes from polling conducted this past weekend of 1,000 likely voters. Most of these voters approach the health-care reform debate fearing that they have more to lose than to gain.

Adding to President Barack Obama’s challenge as he sells health-care reform to the public is the fact that most voters are skeptical about the government’s ability to do anything well. While the president says his plan will reduce costs, 53% believe it will have the opposite effect.

There’s also the reality that 74% of voters rate the quality of care they now receive as good or excellent. And 50% fear that if Congress passes health-care reform, it will lead to a decline in the quality of that care.