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In the middle of one of the worst economic crises experienced by the US, Health 2.0 Advisor Jane Sarasohn-Kahn confirmed today that US citizens are not as focused on heath care as they were a year ago.

"Twelve months ago," Jane Sarasohn-Kahn said, "the most important things on American voters' minds were the war and health care. Two days ago, the most important thing on American voters' minds is the economy. Health care and the war have taken a backseat."

This doesn't mean however, that health care plays second fiddle to the attendees of the Health 2.0 Conference in San Francisco this week - it's still their driving force. The rules of engagement however, as Clay Shirky pointed out in his keynote on Wednesday, are changing.