President Barack Obama made a “public option” his centerpiece not because it’s the answer to what’s broken in the U.S. system, but because it’s a halfway house to a single-payer setup that liberal Democrats have always wanted. Team Obama also knew the public is concerned about rising costs, so they jammed together a hooey-filled argument that the public option was somehow the solution to rising costs.

The public is not as dumb as it’s made out to be, and Mr. Obama’s public option died a bipartisan death yesterday in the Senate Finance Committee. What’s left is a package of “reforms” that are mere trite extensions of what we’ve been doing for decades. That is, piling up mandates on private insurers and then lying that this somehow isn’t driving up the cost of health insurance; piling up subsidies for health consumption and then lying that this somehow isn’t responsible for runaway health-care spending…

He might have honestly sold the Democratic dream of a single-payer system, forthrightly explaining how resources would be allocated. He might have spoken of putting the price tags back on health care so consumers could decide instead. He did neither—and has botched an opportunity for real progress.