In a word? Misinformation. The health insurance lobby funded large-scale astroturf operations at the height of the healthcare debate to convince everyone that you would go to jail for not having insurance, or that the government would kill old people, and a hundred other blatant lies. Once the stories were made up, they just loudly repeated them all year long until people eventually took them as truth. I'd be in the streets protesting too, if any of that stuff were actually true. Misinformation fueled by corporate money is, IMO, one of the most critical problems with our political landscape. Nobody can make a proper, informed decision when everything they hear is fabricated.