The CBO projected the current bill would stop costs from rising.
It's really not realistic to try and reduce costs at this time. One step at a time. Stabilize costs first, then try to reduce them.
It would be nice to replace health insurance all together. however, I don't think HSA's are the way to go. How long before an HSA is drained do you think of a Wal-Mart employee if they were to get cancer?
Replace Health Insurance companies with a single-payer system. Government ran or Non-profit with a government charter, I don't care which.