I don't think any health care reform package can pass the Senate as the draft bills now stand. Quite some time ago, I posted a similar option such as this (although I'm certainly not taking credit--it belongs to Olympia Snow who later proposed it). I also can't find that posting. What this would do is give insurance companies a set amount of time to make changes in its own industry in order to help cover more people and drive down long-term costs. If those changes failed to occur within the defined period, a trigger would provide for a public option to force change on the insurance companies. Any comments?