At a luncheon in Washington last week, I stumbled across something new in the Obamacare debate. Most of the attendees were reporters. The inevitable question came up: If not Obamacare, what? And when a Republican ran through an answer (equalizing tax treatment of insurance bought through employers and individually; allowing insurance policies approved in one state to be sold in all; HSAs and high deductible plans; medical liability reform), the reception was attentive, not dismissive. In other words, Washington is starting to take seriously the prospect of repeal and replace. An effective reform package will have more items in it...