Yes, it can be done in +/- 20 pages. If you really want to reform that inefficiencies that exists in the best health care system in the world.
Because, yes, despite all the propaganda unleashed out there by The One and Co, it is the best health care system in the world.
Now, if you final goal is a power grab of 1/6 of the US economy, under the disguise that you are going to re invent the wheel - when, in real life, you wont - well, in that case you will definitively need those more than 4,000 pages (adding the two crappy pieces of legislation approved so far) rammed down every body's throat to hide the humongous government bureaucracy that it's being created, as well as the long strings of corruption deals behind it.
Charles Krauthammer, a former psychiatrist that has become the critic-in-chief of the boondoggle the Obama administration has turned into during its first year, have nailed down what type of health care reform the US really needs: step by step, targeting those areas where there is a real need of reform (including those political untouchables that need to be touched).
Read his column at Investors Business Daily here.