I think the "reform" part needs to be directed more at the insurance industry. You'll get no argument from me that these shit weasels are making entirely too much money, and although I'm not entirely opposed to them making money - they shouldn't be raking in life-changing gobs of money.
I just think that when you have an overextended industry of medical professionals (who accrue hundreds of thousands of dollars in college tuition debt just to become certified doctors) and they suddenly feel like they're not making enough money (given the level of their responsibilities, not to mention how much they have to pay annually in liability insurance in additional to their repayment of college loans) that we are quickly happening upon a time where we are going to experience a significant shortage of healthcare professionals and surgeons.
If I need open-heart surgery, the last thing I want is a disgruntled surgeon who feels he/she is sorely underpaid opening up my chest to save my life.
And if he/she has to haggle back and forth with the insurance companies to get what they feel is reasonable compensation for their efforts - then something is seriously wrong.
We do need reform. But I feel we need to reform the insurance industry more so than anything else. They are the fattest cats in the barn.