Health Care speech in Chicago

Recently President Oboma gave a speech to the American Medical Association in Chicago (http://www.whitehouse.gov/the_press_office/Remarks-by-the-President-to-the-Annual-Conference-of-the-American-Medical-Association/). I agree with a lot of his points; implementing electronic medical records, reforming Medicaid payment and focusing on preventive medicine. However, are these items doable with a government takeover or public option (against-refrom vs. pro-reform)? I guess we'll have to see what happens and see if a public option is just a fancy term for Medicaid.