Abstract: Objective: Re-examination of traditional concepts in medicine would help to allow meaningful health care reform. Methods: We studied 6 different pre-defined 10-person focus groups of healthcare workers and patients. The two-hour focus groups were taped and summarized using a perceptual map. Results: We found a pervasive atmosphere of fear and anxiety regarding three realms: 1) insurance coverage, 2) information technology, and 3) health justice. Respondents desired a realistic, actionable document to guide policymaking, which we discuss in the accompanying commentary. Conclusions: Our document reflects use of the tool of focus groups, which may help in providing an ...