There is often a prevailing opinion among political leaders that failure to enter the middle class is a result of laziness or poor choices.

FORBES: 6 Milestones for Entering the Middle Class

In recent days, two administration officials have told CNN that the prevailing White House opinion is for the Senate health care bill to include a so-called "trigger" mechanism proposed by Snowe that would bring a public option in the future if thresholds for expanding coverage and lowering costs go unmet in coming years.

CNN: Optional public option enters health care talks

Prevailing opinion is that they need not be treated because their disease has not progressed to a point where it threatens their health.

ECONOMIST: The 19th International AIDS Conference: Looking into the future | The