@Advocate,
What follows will be the same; they'll argue the non-essentials, and forget the primary goal of universal health care; a) insure all Americans, b) lower cost, and c) implement efficiencies.
Health care in the US is very complex with so many different cost base by region and availability. Health care includes, but not limited to, all the producers of medicine, medical machinery (such MRI and xray), medical device industry (bedside equipment), and surgical appliances which has kept the US at the forefront of medical care.
I don't see anything happening with health care reform in this political climate. Even some democrats are nay-sayers.