First I would not lie to every one and call it health "CARE" reform, because it is health insurance reform, and it's not really reform, it is government subsibizing health insurance.
Then I would explain that not life is not fair and some people are going to have finacial hardships due to bad health.
I would allow insurance companies to sell across state lines. Competition is always good.
Then they could create a pool for the remaining 3 million "uninsured"
They did not need to change everything to get to there stated goals, but their stated goals and what they really wanted are two totally different things.