To the consternation of small business and medical insurers alike, California Governor Arnold Schwarzenegger has announced sweeping reform in health care coverage with a proposal of universal health care for all Californians. Currently, 6.5 million residents who live in the state are without the security and safety of medical health care coverage.

Schwarzenegger, who is now being accused of sounding more Democrat than Republican, suggests his new $12 billion dollar health care plan be paid with fees levied on businesses, insurers, doctors and hospitals, and that 85 percent of every insurance premium dollar be spent on the insured in patient care. Insurers would be required to make all-things-equal in offering health insurance based on a community-rating model, as opposed to charging higher premiums for those who fall into a high-risk category. In addition, insurance companies would not be able to deny coverage. All persons who apply for health insurance would be guaranteed coverage.

Employers would be required to provide health insurance to all workers or pay 4 percent of their payrolls to the state; doctors would pay a new tax of 2 percent; and hospitals would pay a new tax of 4 percent.

The number of medically-uninsured in this country is growing yearly, and it is an issue that cannot be ignored. Those without medical insurance postpone seeing a physician, and when we are talking about cancer, delayed diagnosis and treatment can often mean the difference between life and death.

Recent surveys have indicated that even the insured are beginning to wonder if they will be able to afford quality health care in the future, as the cost of care continues to rise. It is not lost on politicians that health care is an important issue with the voters of this country, and those who wish to garner more votes will tackle these concerns.

In fairness, I am not suggesting politicians are solely motivated to act based on popular vote, but elections do have a way of clarifying the issues that are important to the citizens of this country and the resulting changes that can occur as a result of defined focus.

Schwarzenegger is not alone in his efforts to affect change. In December, Oregon Senator Ron Wyden introduced a new proposal to provide affordable, high quality, private health coverage for everyone regardless of where they work or live with the Healthy Americans Act.

The current system is simply not working for nearly 46.6 million people who are without health insurance coverage, according to statistics provided by U.S. Census Bureau's Housing and Household Economic Statistics Division. The solution will not be an easy one, but a solution is needed. Schwarzenegger has made a bold move, but one that will be made by other political leaders in this country as we lead up to the 2008 presidential elections. For the every day citizen, the time is overdue for the realignment of a health care system that is teetering out-of-balance and in a seriously off-kilter orbit.

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Health care coverage for working Americans is like a brittle tree in a hard wind -- and the larger limbs are beginning to snap. Between the years 2000 to 2005, 6.8 million more people became uninsured according to the latest report from the U.S. Census Bureau's Housing and Household Economic Statistics Division. Current data estimates 46.6 million people are without health insurance coverage. As employer-based health insurance continues to fade, government programs are taking up the slack -- up to a point. But given the lack of funding, there is only so much that can be offered.

In a statement issued by the Center for American Progress, "These problems did not just happen: they resulted from flawed economic and health policies which force Americans to work more for less. When it returns after Labor Day, this Congress should act to mitigate these problems by passing a straightforward minimum wage increase and extend health funding for programs like the State Children's Health Insurance Program. Moreover, policy makers should recognize the need for major change, such as providing affordable health care to all Americans and taking action to address growing income inequality."

Some are calling for a government-based universal health care system that guarantees health care coverage for all Americans. Others are suggesting a mix of private and public health care coverage. What ever the solution, there certainly needs to be one.

We can start with a shift in perspective and change in expectation. If you are working full-time for a company, presumably your efforts are helping that company make a profit. Health insurance coverage should not be viewed as a luxury benefit, nor should the largest burden of health insurance premiums be shouldered by the employee whose earnings just meet living expenses. Yet, this is happening every day in this country. The hard wind continues to batter the brittle tree.

Personally, I am not sold on a government-run, government-backed universal health plan simply because I have covered too many horror stories about rationed care in other industrialized countries. It seems a combination of programs might be the solution but the government and our elected officials certainly need to be held accountable for implementing programs that insure all Americans.

American Public Health Association Georges Benjamin is quoted by United Press International as saying, ""This is the worst news we've had all year. Our nation is not secure if we're not healthy."

Roy Thayers has experienced death up close, as he was caregiver for his first wife as she battled cancer -- he knows what it is like to watch someone fight for their life -- and he was there when she lost her life to cancer.

Thayers, who at the age of 77 lives alone, was recently told by his doctors that he was at risk for a fatal heart attack and might lose his life if he didn't undergo heart surgery to unblock the heart valves immediately.

The problem of avoiding death and living longer became a matter of time and money. When the NHS put Thayers on a nine-month waiting list for heart surgery, he worried he might not have that long to wait -- considering the urgency with which the doctors had impressed upon him concerning the imminent threat of a fatal heart attack without surgery. He was told he could have the surgery immediately if he paid for it himself.

Lance Armstrong sat down with ABC News This Week's George Stephanopoulos to talk about RAGBRAI -- the politics of cancer research funding -- and bringing the issues of cancer back as a national priority and into the hearts and minds of the American people. At this point in time, concerning cancer as an epidemic that strikes one in two men and one in three women, Armstrong said, "There are people who never needed to die -- never needed to go through the pain and suffering -- it's got to stop."

Of the RAGBRAI he participated in last week in Iowa, he joked that he enjoyed it much more than riding through the Alps during the Tour de France. In the RAGBRAI, a seven day bike tour, he was amazed at the sheer relaxed fun of it all. Armstrong spoke about drinking cold beer and eating coconut cream pie. He told Stephanopoulos that ladies were asking him what his favorite pie was, because in each town square there are home baked pies waiting for the cyclists.

Armstrong hopes that by talking to the voters of Iowa, a pivotal political state during presidential campaigns, he will spark interest in discussion and debate about cancer issues. Ultimately, during the presidential and vice-presidential debates, he would like to see one of the moderators ask the candidates directly, "What's your plan?" concerning cancer -- the number one killer of people in this country.

Armstrong said he was not looking to get elected to political office and wanted to stay neutral and apolitical. What he is looking to do, he said, is start a movement. Of a political future -- Armstrong said, "Never say never." You can watch ABC News This Week's George Stephanopoulos interview with Lance Armstrong video here.

Radio Iowa reports that Lance Armstrong wants to fight the final battles against cancer by forming an army to wage war on cancer. Armstrong is in Iowa this week to participate in RAGBRAI, a cycling tour across the state of Iowa, and while there he is also giving interviews and making speeches about cancer and cancer survivorship.

"What we need is an army. We need an army of people. It starts in Iowa," Lance Armstrong said during an appearance in Newton on Wednesday. "Now's the time to make a difference and knock this thing out forever."

At the heart of the matter is federal funding for cancer research. For the first time in 35 years, the federal budget for cancer research has been cut -- which is essential to cancer research. Without federal funding, the advances made toward a cure for cancer are dramatically slowed. Armstrong is on a mission to ignite the political passions of the voters in this country to become an army against cancer.

"We hear every day how we're in the middle of a war, maybe a war in Iraq. It might be a war on terror. Let me tell you about a war. This is a war that's 35 years old and this is the war that's about time in my opinion that we get done with and that we finish," Armstrong said at a political event in Iowa City two days ago.