Ways to improve our health care system before complete reform

There are some logical steps that we can first address in regards to health care and costs.

• Elimination of Medicare Fraud and Waste:  According to an October Thompson Reuters reports the health care system wastes between 500 and 800 billion dollars a year! 200 billion of that are fraudulent claims.  Now that is some profitable illegal activity.  
• TORT Reform:  No one seems to be talking about this and it is a huge part in why health care costs are so high.  Doctors malpractice insurance is through the roof.  Guess where that costs ends up getting shifted to? You got it, THE CONSUMER!  
• Upgrade our systems:  We need to update to an electronic base system, there is so much waste and miscommunication in our current paper based system.
• Reward the healthy!:  It seems too logical to have a health-based health care system doesn't it?  Include health assessments in with plans, reward wellness.  

These things are already included in the reform bills (except for TORT reform).  Again, almost all agree on these reforms.  Why does everything have to be crammed together?

What if we voted on each reform by itself? Would it work to go line by line, item by item, reform by reform and vote on those? I imagine a lot of good reform would pass.  Both parties agree on more topics than they disagree on, although you wouldn't know that from the media.  I don't know a single person that proclaims not to care about the uninsured.  For some reason this seems to be an all or nothing debate, why and how did we end up here?