The first step to Health Care Reform starts with Tort Reform, anything else is pure BS....
That's a state level issue, and the states that have done it have gotten screwed. Most of them saw malpractice rates skyrocket anyway, the exception being Texas. There, they lowered malpractice rates, but health insurance rates skyrocketed, completely outpacing the majority of the nation. Tort reform is a myth in terms of the big picture. Combine it with the fines for being uninsured, and all you've got is what we always seem to get - a nice fat package for the insurance companies.
On a side note, I think the concept of failing to provide a public option for millions of Americans who need it based on some fear that somewhere illegal aliens will sneak onto the plan is nonsensical. Should we fail to provide police protection and pubic schools, because somewhere an illegal immigrant may benefit?