Despite best efforts, half of Americans are not confident in healthcare reform, reports Kaiser Health News today. According to a Kaiser Family Foundation poll, 41 percent of respondents believe care quality will decline under healthcare law, and another 28 percent said it will remain the same. Americans were equally pessimistic about cost control. Forty-nine percent said costs will get worse, and another 18 percent said it would be the same. Most respondents blame waste and fraud for the healthcare costs. Article