FILE - In this June 28, 2012, file photo, Massachusetts Gov. Deval Patrick speaks, as Health and Human Services Secretary JudyAnn Bigby listens at right, during a news conference at the Statehouse in Boston, where he spoke about the U.S. Supreme Court's decision to uphold President Barack Obama's health care overhaul. Some of President Barack Obama's former advisers are proposing major changes aimed at controlling health care costs as political uncertainty hovers over his health law. Call it Health Care Overhaul, Version 2.0. Their biggest idea is a first-ever budget for the nation's $2.8-trillion health care system, through negotiated limits on public and private spending in each state. The approach broadly resembles a Massachusetts law signed this summer by Patrick that puts pressure on hospitals, insurers, and other major players to keep rising costs within manageable limits. It could become the Democratic counterpoint to private market strategies favored by Republican presidential nominee Mitt Romney and running mate Paul Ryan. (AP Photo/Elise Amendola, File)