House Majority Leader Steny Hoyer, D-Md., believes the creation of a limited exchange or marketplace, where uninsured Americans could shop for health insurance, could be one answer to the health care dilemma. He believes such a program could be attractive to both sides of the isle.
Hoyer also supports pools where small businesses could come together to create better markets as they seek to cover their employees. He says that such pools would have greater purchasing power than each business on its own. He also says ending the antitrust exemption for health insurers would improve market competition.
A smaller health care reform bill will be hard to piece together, because most changes needed to improve the health care system are inter-related, which was one reason why House and Senate Democrats ended up passing differing but sweeping bills that eventually ran into trouble. Hoyer says it is difficult to take small pieces and accomplish what we want to accomplish.