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In an effort to inform policy and broaden the dialogue about controlling health-care costs, Public Agenda, in partnership with the Kettering Foundation sought answers to the following questions: What do Americans think about health-care spending? In what way, if at all, do their initial thoughts and feelings change when they have the opportunity to deliberate over different approaches to controlling costs? Which changes to the health-care system will people most readily accept and which are likely to elicit resistance? This research is based on extended, deliberative focus groups with average Americans ages 40 to 64.