r premiums, the Medicare cuts, the Medicaid expansion, all of it. And at that point, the plausible right-of-center alternatives to Obamacare will no longer look risky and disruptive relative to the status quo, because that status quo will no longer be one that Republican interests and voters are deeply invested in defending. Instead, those interests and voters will be looking for ways to limit the health care law’s impact, and the conservative alternatives will look more like what they actually are — proposals that spend less, regulate less, and reflect a greater confidence in markets than the president’s new law, and that would change the underlying health care system in ways that a sensible G.O.P. should support.