According to HHS Chief Sebelius these people are most likely racists.

Via Rasmussen:

Voters continue to give high marks to the health care they now receive but are more pessimistic than ever about the short-term future of the health care system in this country.

A new Rasmussen Reports national telephone survey finds that 24% of Likely U.S. Voters now expect the U.S. health care system to get better over the next couple of years. Sixty-one percent (61%) think that system will get worse. That’s up four points from a month ago and up 13 points since February.