First off, regulation needs to be cut to a core of safety/quality standards. We need appropriate de-regulation(not to be confused with simply giving 100% control back to crooks). Secondly we must have tort reform, 1/3 of doctors went on record as saying they will leave their practices the minute this becomes law. Third, yes there does need to be insurance reform, better ideas than this bill were shot down, and that is unfortunate, as an agent I will tell you that the things in this bill will drive costs up. Finally, the AMA needs to lose a lot of influence in legislative matters, don't know if you are a member or not, but they have historically advocated some positions that limited our number of physicians and specialists over the years, healthcare is not a natural market and we are seeing the effects of the controlled market not on it's best behavior.Some, I'm sure is. It didn't go far enough with regulation, and may have gone too far with citizen control, without enough choices.