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Beyond the noise of raucous crowds and angry protesters who have turned town hall meetings into shouting matches is genuine concern from ordinary citizens who are afraid that President Obama's health care proposals would only make things harder for them, experts say. The battle over health care reform has energized people on both sides of the debate.

"The reason that we see these protests and people asking tough questions at town hall meetings is because they feel like the president is going to take something away from them. That motivates people. That gets them out," said Michael Cannon, director of health policy studies at the Cato Institute, a libertarian think tank.

Those fears were heard Tuesday at Democratic Sen. Arlen Specter's town hall meeting. "This is going to take away my freedom," charged one man who wanted assurance from Specter that the private option for health insurance would stay viable.


Specter repeated Obama's pledge, telling the crowd, "If you like your policy, you can keep it."

Acknowledging the skepticism at a town hall meeting Tuesday, Obama tried to alleviate fears that reform would take something away.

"I recognize there's an underlying fear here that people somehow won't get the care they need. You will have not only the care you need, but also the care that right now is being denied to you, only if we get health care reform. That's what we're fighting for," he said at the Portsmouth, New Hampshire, event.

Since his days on the campaign trail, Obama has promised the public that those who like their health insurance plans won't have to give them up, but he's stopped short of saying at what cost.

"I think that's the fear," said Diana Owen, an associate professor of political science and the director of American studies at Georgetown University. "Even though they are going to keep the plan, the plan is going to be at a much greater cost. And he's not been able to really allay that fear."


Mike Willis

Pennsylvania (CNN) — A hostile crowd shouted questions and made angry statements Tuesday at a town hall meeting on health care led by Democratic Sen. Arlen Specter.

At one point, Specter shouted into his microphone that demonstrators disrupting the proceedings would be thrown out.

"We're not going to tolerate any demonstrations or any booing," he said after one audience member shoved another making an unsolicited speech. "So it's up to you." 

Many in the crowd identified themselves as conservative Republicans, with one man noting they had voted Specter to Congress before the senator changed parties earlier this year. 


One woman prompted a standing ovation by telling Specter: "I don't believe this is just health care. This is about the systematic dismantling of this country. … I don't want this country turning into Russia, turning into a socialized country. What are you going to do to restore this country back to what our founders created, according to the Constitution?"

Specter responded by noting his support for the Constitution as a past chairman of the Senate Judiciary Committee on issues such as warrantless wiretaps.

"When you ask me to defend the Constitution, that's what I've been doing," Specter said.

However, Specter also noted that overhauling the health-care system is about America taking care of all its people.

"In our social contract, we have provisions that see to it that you take care of people who need some help," he said.

Several people asked if a health-care bill would mean taxpayer dollars would pay for others to get abortions. Specter responded that any measure passed by Congress would allow people to choose a plan that didn't cover abortions.

The shoving incident occurred early in the 90-minute session, when a man started shouting that he had been told by Specter's staff that he could speak, but he didn't get one of the 30 cards distributed to people allowing them to ask questions. Another man stood up and shoved the protester, and Specter approached the men shouting for calm.

"You and your cronies in government do this kind of stuff all the time," the protester shouted before leaving the hall. "I'm not a lobbyist with all kinds of money to stuff in your pockets. I'll leave you so you can do whatever the hell you do."