Random thoughts for starters.

First order of business - a full frontal assault on tort reform with a concentration on medical malpractice. It is obvious that these claims drive a significant part of medical costs.

Our educational system needs to increase opportunities for talented young Americans to receive their medical training in this country. Concurrently, we need more doctors to create more competition and hopefully lower costs.

Major incentives for businesses small and large to adequately insure their employees.

Restructure medicare

Stop treatment of illegal immigrants - very tough decision because it goes against the values we preach and live by. However, the drain on our system is clearly demonstrated in California's predicament. If rationing is the current administration's plan for the future of medical care in the USA, ration by taking Americans first. Their taxes support the system.

Form a special task force to work with every major drug company in America and the FDA to find creative ways to reduce costs for those in difficult financial circumstance. Explore tax incentives for those companies that participate.

Create a task force of medical professionals, insurance professionals, business and financial professionals to develop a serious single payer system NOT under government control. Government oversight? Possibly.

Excuse the hipshooting style.....this serious subject needs a lot more thought.