Missing from the noise so far: the voices of minorities, who are disproportionately represented among the poor and uninsured and could benefit the most from reform, and who are more likely than others to have chronic illnesses such as diabetes. They are symbols of the failures of the current system.
Starting this week, however, with a new campaign and new ads, their voices will become a larger part of the debate.
Leaders of black and Latino advocacy groups say that because so many of their members favor health-care reform, they are becoming more forceful as the final drafts near, even though they are reluctant to make race and ethnicity a central issue.