2008 Health Confidence Survey Shows health care system needs To Be tweaked Paul Fronstin, Director of the Health Research and Education Program, Employee Benefit Research Institute (EBRI) Background: The twelfth annual Health Confidence Survey will be released on October 7th, and the results indicate that a majority of Americans (75%) feel that the current US healthcare system needs to undergo major changes. Paul Fronstin, director of the health research and education program Employee Benefit Research Institute (EBRI), reveals the full survey results, discuss concerns respondents voiced regarding cutting healthcare costs, confidence in the future of the health care system and more.?