In terms of Medicare, I'm in favor of sitting down and having a serious discussion about the likely impact of the Affordable Care Act, health-care reform, on the cost issue and changing the fee-for-service structure. Sander Levin More Quotes by Sander Levin More Quotes From Sander Levin Through good times and bad, American workers and their families have been able to rely on Social Security to provide guaranteed protection against the loss of earnings due to retirement, disability, or death. Sander Levin bad good good-times death That's what healthcare reform is about: the middle class's economic security. Sander Levin economic healthcare security class We need for America to get back to basics and focus on the middle class's quality of life. Healthcare reform is vital to restoring that standard of living. Sander Levin back quality focus life Opponents of health care reform would take away consumer protections - siding with the insurance industry instead of the middle class. We can't afford that. Sander Levin insurance care health class