So while I was washing the dishes I came up with an idea for Health Insurance reform.
Objective: Get everyone health insurance. Make it affordable. Give widest possible array of choice and interfere with what works in the current system as little as possible.

1) Let insurance companies sell policies across state line.
2) Mandate that everyone must have health insurance just like auto.
3) Policy products can NOT have their pricing vary based on the customer. For example. BIG HEALTH INSURER has Policy PPO Platinum, everyone who buys that policy says the exact same premium. The price of the product is independent of the customers condition.
4) No one can be turned away from health reasons or pre-existing conditions.
5) All policies are open to all customers. (A company cannot say, you can only buy from this list and not that. If I pay for it you have to sell it.)
6) The poor get government assistance in paying for their policies.

This solves the problems of people with pre-existing condition being priced out of the market. It requires everyone be in the pool to spread the risk. It leaves the final solutions to the market, which I think works better than state solutions.

IF this did not work, then we could look at public-options and such, but I think this would give the market a chance to make it happen.