In the ongoing debate over options for health system reform, stakeholders such as insurance industry representatives, hospital executives and physicians are likely to exercise significant influence over the options that are considered, and will certainly be major players in the debate itself. What is less clear is how the various preferences of each will be reconciled. For many of these groups, the status quo is the preferred option – and for most of them, it’s a strong second choice. For physicians in particular, the range of support for various reform options remains largely a matter of conjecture.