Those opposed say that any mode of distribution other than a market approach restricts the freedom and rights of individuals to run their own lives and make their own choices (Epstein, 1999). This approach is supported by innumerable, unregulated, large and powerful businesses (pharmaceutical, insurance and medical corporate interests) that rely on their market dominance legislators and influence legislators and policy makers in this debate. They attempt to erode public support for universal access to health care by labeling it as un-American and socialist.