August will be a make-or-break month for the drive to revamp the healthcare system, as members of Congress use the recess to either sell the need for an overhaul to voters or continue attacks on the insurance industry, the chief of the insurers' main lobbying arm said. Karen Ignagni, president of America's Health Insurance Plans, said that recent broadsides against the industry by President Barack Obama and other leading Democrats are designed as a distraction as the healthcare debate becomes more contentious.