People in leadership roles for major Midwestern companies seem to have little confidence that the next U.S. president will do much to expand the pool of those with medical insurance. During the Midwest Business Group on Health annual meeting, not one person out of a crowd of 200 thought health benefits would be expanded one year from January 2008. The informal poll came from a group that included consultants, executives and human resource professionals from some of the Midwest's largest employers.