As far as I can remember, I have been in favor of health care reform. I find it inconceivable that a country as rich as ours doesn't provide health care for everyone and that employees of for-profit companies determine medical protocols and weather or not certain procedures will be approved and certain drugs administered. Nonetheless, I am not convinced by President Obama's public option. I cannot think of a single well and efficiently run government program and having some bureaucrat determine my protocol may be even more scary than depending on a private company that may be shamed, at times, into doing the right thing. I fear that my solution would be even more unpalatable to Republicans than Obama's is. I think that we should treat insurance companies - and drug manufacturers for that matter - as the utility industry of old was treated: the government should regulate premiums, reserves and permissable profits since it is immoral that the shareholders of these companies should enrich themselves at the expense of other people's lives. Basic premiums should be determined on the basis of the whole population and should include a surcharge to offer affordable options to low-income households and coverage to those who cannot afford to pay any premium at all. In additon to the basic premium, one should be able to buy more expensive coverage that would offer a choice of doctors. drugs, procedures, facilities and double or single hospital rooms. This would obviate the need for a costly government program and for a classist and divisive overtax on those earning more than a certain income. Why should those who are successful, often because of their hard work and because of the risks they are prepared to take, be penalized in order to treat the medical problems of other citizens who eat too much junk food, drink too many sodas and burden the health care system with diabetis, heart disease and a slew of other ailments due to their obesity? If there is a price to pay it would be only right to exact it through an additional tax on sugary drinks, fattening fast foods and snacks and tobacco. The fact that the manufacturers would "only pass on the cost to the consumer" is a positive by product: it would reduce, probably, consumption of these items and, if one wants to ruin his or her health by indulging his or her appetites, one should be prepared to pay for it. Knowing that the rich will pay the financial cost of health care is very unlikely to discurage food abuse. President Obama was elected, in part, because he gave the impression of wanting to do what is best for the country, not what coincides with Democratic party demagoguery; that's what he should strive to do if he wants his presidency to be successful and memorable.