When politicians fight over calling a bill "health care reform" or "health care rationing," or advocates argue for calling their side "pro-choice" or "pro-life," what are they trying to shape?

When a market system is used to determine what healthcare products to produce and distribute we expect;

1. that these medical devices and services from the suppliers would be given only to those who are willing and able to pay for them. and

2. Since the buyers have a say what healthcare services and products they need hospitals and doctors would at least to satisfy the tastes of buyers.