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This week advisers to all three major presidential candidates met to discuss health insurance, and health care woes in general, in order to decide just when America will get around to doing something about this situation.

At the forum host Peter Orszag, the Congressional Budget Office Director, voiced a very real concern that Congress might not address health care or health insurance costs next year because lawmakers will have to focus on the economy.

According to Kaiser's Daily Health Policy Report, the candidates' advisors responded by renewing the same promises made by McCain, Clinton, and Obama, though with a bit of vague language thrown in (just in case).

David Blumenthal, Obama's adviser, reminded us that Democrats "care deeply" about growing health insurance and health care costs, adding, "If there's any way to get to it, I'm confident they will get to it."

Not exactly a ringing endorsement that change is on the horizon.

Clinton's adviser Jeanne Lambrew said that health care is Clinton's top priority and is consistent with her desire to stimulate the economy.

And Douglas Holtz-Eakin, McCain's adviser, suggested that health care and health insurance would be handled in a "day-to-day" manner, with "continuous incremental changes."

Just how incremental those changes would be isn't clear. But one thing is certain: those who need coverage ought to do their best to find an affordable plan and hang on to it, since it doesn't look like sweeping reforms are going to take place in 2009.