The United States must think long and hard about how to solve the many problems a universal healthcare system would create before it adopts such a policy. Government regulation, job loss, and the ever-present problem of how to pay for universal health care are factors this country is not prepared to surmount. Most proposals for universal health care are based on government management, which is less than favorable. Government management could result in patients having fewer choices about what doctors they can see. It could also mean that patients would receive worse care or have to wait longer to receive care. Some people even worry that personal information could be compromised because it would be regulated by the government. The idea that people who are currently insured privately could face a decreased quality of care is, perhaps, the most concerning. What is the first reason the author addresses?