cf Stupak. Mind you, the system coming out of the legislation is nothing like the system I have described. This is mostly because your legislature is pretty much a wholly owned subsidiary of the United Corporations of America, afaict.
There's a lot broken with how things are down there. It's pretty much up to the American people to fix it.
A story for you; I stage managed the Canadian Guitar Festival this past summer. A couple of campsites down from me was a young couple from Ohio. I wished them luck in getting health care fixed. They said that they hoped it would go well. I asked them what they were doing about it. They pretty much said "nothing". I pointed out that I know the name of my MP (Peter Milliken), my MPP (John Gerretson), what their respective responsibilities were, and even more importantly... they knew who I was too. If I see something I don't like, I tell them... and if I see something I like a lot, I tell them that too. If you want to see that hopey changey thing, you need to make sure that your congressman and senator know who you are as well... democracy only begins at the ballot box.