I'd feel a lot more comfortable if at least part of the debate was about reducing costs, rather than concentrating solely on how these exorbitant costs will be paid. We're faced with doctors (who are represented by the second-strongest union in the US, and who are enjoying a government-granted monopoly status), health insurance companies (who are out to grab whatever they can) and drug companies (who are doing the same). Medical training is restricted (costs are astronomical and no new medical schools are opening), and lawyers are happily humming to themselves (I think it's Sweet Sue). Now health insuers are trying to push through a co-pay limit of 35%; it won't get better until somebody does something to make it better.