OK, I'm Only Going to Say This Once...

Drop the illegal aliens and people who can afford health insurance but don't want it, then take the 8-10 million who are left and add them to the current Medicaid program, DONE! For cost savings: Tort/liability reform, de-link health insurance from employment, i.e. portability, make health savings accounts available to everyone, make tax deductibility for premiums available to everyone and allow cross-state competition. That's all we need to do. And get the Feds out of the picture!