I'd actually like to see a set of rather simple reforms to the patent system. I don't claim they would fix every problem, but I think they'd be a significant improvement over what we have now.
1: No conceptual patents -- you can patent specific THINGS, not ideas
2: Companies cannot hold patents -- Don't care what the supreme court says, companies are fictional entities and thus have no rights. The person who creates the patentable item retains ownership, and the company gets a perpetual royalty free license to the patent, but cannot prevent the owner from licensing it out to anyone else
3: You have to actually be USING the patent in some product (assuming #2 doesn't fly given the Citizens United ruling). You can't just blue sky ideas and patent them in the hopes that one of them may become useful some day down the road, and if you stopped producing any products based on that patent then you've donated that patent to the public domain
4: If the patent examiner can't understand what it is you're trying to patent, the default action is to reject it
5: If a patent is rejected, and you file again, the first one is at regular price, after which the fee doubles each subsequent time with a maximum of 5 attempts
6: You get a brief window of exclusivity, which the patent examiner gets to determine based on the nature of the patent, and once that window expires you MUST license the patent to anyone willing to pay the fee also set by the patent examiner when the patent is granted. You can work out other arrangements, but that is the minimum threshold someone needs to meet to get a license for the patent.
I'm sure someone will eventually be clever enough to figure out a way to game such a system, like bribing the patent examiners. And if I were absolute monarch for a day, I'd say that if that were ever found to be true then that examiner would be fired, and every patent they issued would immediately go into the public domain. In any case, not claiming that it's a perfect set of rules, just far more sane than what we have now.