The best reform would be to get all the illegals the hell out of here. They have abused “The Emergency Medical and Treatment Labor Act (EMTLA)” and it’s you and I who pay for it through our insurance premiums. Many great hospitals in North Alabama have went under because of this law, having to treat every illegal who enters the ER with the sniffles and never receiving a penny from them.
Getting rid of illegals is necessary, but by no means sufficient. We need to get rid of federal subsidies for health insurance (except for catastrophic insurance) and for education (for citizens as well as aliens), which are the main reasons why the costs of health care and college education have increased so much during the past two decades. We can’t afford the welfare state ven if it were limited to cilitizens.