Common Sense Piece of Solving the Healthcare Crisis

I am listening to the KQED Forum Podcast about the state of the state and California's dire economic situation.  They mentioned healthcare which is a huge issue nationally and at all state levels.  I make no pretensions to being an expert on healthcare policy but some things seem pretty apparent to me.  At present many of the uninsured and/or underinsured are using emergency rooms instead of primary care providers.  This is bad from an economic and public health policy standpoint because it is a major expense that is being bourn by the hospitals and ultimately the economy that could be done both cheaper and more effectively with primary care providers. From my understanding hospitals are legally required to provide needed care.  Many doctors apparently do not accept patients who have public health insurance such as state children's health insurance, medicaid, etc. because the re-imbursement rates are too low.  It is also apparently fairly common where physicians will not accept certain private plans.  I believe that doctors deserve a "reasonable" payment for procedures from both public and private health insurance plans.  I also strongly believe that a condition of their state medical licensure should be the requirement that they accept all public health insurance plans.  This belief comes from a moral and practical political perspective.  Shifting the burden onto physicians in the short term will have the effect of causing a well funded and politically active group applying effective political pressure to finally fix this problem.  Health care and the economy in general are a mess.  We really need to look at our core values and priorities and bring some sense of equity and fairness back to public policy.