12/31/09 HC Reform Update by Mark Sanna: What happens when you spend months crafting a big piece of legislation, making the compromises and deals necessary to win passage in Congress? You get something like the 2009 (soon to be 2010) healthcare reform bill, a hulking 2,000-page piece of legislation designed to the appeal to no one – or rather, designed to be just acceptable enough to appeal to just enough politicians to pass.