Language does have an impact on the perception of political issues. "Health Care" has become synonymous with "Health Insurance", for example, when they are two distinct concepts. Health care is the system that provides the services--doctors, hospitals, etc. "Health insurance" is one way of financing health care. Most of what is being discussed is a way of financing health care, not providing it. The cost of health care is not the method of financing, while the method of financing does affect the cost. This is similar to how financing affects the price of cars and housing--to name two expenditures often financed. Calling health insurance "health care" tends to obscure the economic issues, to the detriment of understanding both how the system works and what could be done to reform it.