When Republicans are asked to present their ideas for Health Care Reform, they usually offer one or both of two ideas. One is to allow insurance companies to sell across state lines. Ezra Klein has a good explanation of why that's a very bad idea. It's the same reason why it was a bad idea to allow credit card companies to do the same thing. It leaves the companies governed by whatever state will be the most lax in its regulation.
The other thing Republicans mention is tort reform and limiting malpractice awards…and they don't even think this would safe enough to really affect the cost of health care. They just want to slap down trial lawyers and to protect the rich from the poor. Someone oughta point out that not that long ago, a lot of the same G.O.P. leaders felt that there was nothing more important in this world than to keep the heart of a woman named Terri Schiavo beating. Okay, but one of the things that kept her (technically) alive was the large malpractice settlement that paid for her frighteningly-expensive health and hospice care. If Republicans had their way, she would have gotten about a third of what she actually received in that lawsuit.