Medicare-for-all. Medicare for all who want it. Health care as a form of freedom. As they campaign, most of the 23 Democratic candidates for president are trumpeting bold ideas to achieve the party’s long-held dream of ushering in health coverage for every American.

The problem is that many voters are not focused on such lofty goals. They want something simpler — to pay less for their own health care.

Voters have plenty to sort out, with nearly two dozen Democrats running, each offering a raft of proposals on many issues. But in public opinion surveys and interviews, people rank health care as their top concern. And with insurance deductibles, prescription drug costs and other medical charges squeezing the middle class, they consistently say they want elected leaders to lower their out-of-pocket costs…

“I don’t think it’s probably the right time to push Medicare-for-all,” said Jungling, 57, an electrical engineer whose wife, an insurance broker, has enrolled uninsured clients in Affordable Care Act health plans. His in-laws just went into an assisted-living facility that costs $20,000 a month.