Health care reform needs to be centered on health care, not disease care. We need political reform too; reform that is not beseiged by conflicts of interest. Universal health care is off the table, and now single payer is being considered. Compromising with insurance companies is not a reasonable solution because it does not take into account the skyrocketing cost of health care, the fact that we have have an unresolved epidemic of chronic diseases, and that practicing medicine today is not safe.