Even though I've only been on the "receiving end" of health care, I do have a few observations regarding "who is interested in healthcare policy reform":
1) It would appear "big medicine" is interested in universal health care/health care reform (and "big insurance"). Adding tens of millions of new customers would increase their profits dramatically.
2) Given the massive amounts of cash that big medicine is contributing to both parties in our two party political system, given the recent political developments regarding our governments recent 600 billion "downpayment" on future healthcare, it appears that the two parties are more than happy to spend our childrens (and their childrens) money and go along for the ride. The only thing that's clearly being reformed is, well, our wallets.
Regarding the subtext, ideas and career options in healthcare policy reform... If one of my children asked this of me, for career options in healthcare I'd reply:
a) Medical Insurance my girl, the future is in medical insurance... Doctors are only going to be more vilified for their ambition (pay), as well as squeezed by an ever increasing plethora of other approved "providers" such as RNs, pharmacists, etc that will/are getting approval for more and more services. There's simply more profit in it for them if they have less qualified people providing more services for not just more people, but for every person on the planet; whether they can afford it, and whether they need the service or not.
b) Ideas? How about using that government arm twisting they're using right now to crush the banks and car companies, and turn it on the health care business... For all companies that take medicare/medicaid funds, require mandatory pro-bono work: all health care professionals must work 2 days/month at a free clinic. All clinics will be run by each town (perhaps in a room at atown hall). Basic exams and diagnosis provided free, more complex issues referred. Basically, you're not insured, you find a lump in your throat, you go downtown and have a doc give you a free look over.
c) Ideas #2? Currently, we're only given the "choice" of expensive (and very profitable) "monolithic", comprehensive coverage. How about "unbundling" our health care options; for example provide "catastrophe" only policies, where regular "maintenance" or preventative visits ARE NOT covered. Provide separate "maintenance only" policies, etc, etc.
Just a couple thoughts. Best Wishes Laurie.