Enzi Says Private Competition Key to Healthcare Reform Heritage Foundation - Heritage Foundation Congress is preparing to tackle the major task of reforming America's healthcare system. As the country may soon be asked to make fundamental changes, it's critical to understand the principles that should guide the debate.Before a nationalized healthcare agenda moves forward, policymakers should answer questions about whether quality care will be accessible and affordable. Topics - ranging from how best to reform the private health insurance market and expand coverage to the dangers of a government-run public plan competing with private plans - must be addressed.Senator Mike Enzi, the Ranking Member of the Senate Health, Education, Labor and Pensions Committee, explains how to shape the national conversation on healthcare reform.