Already in effect are parts of the reform package that no self-interested politician is going to vote to take away.

No child can be denied insurance coverage because of a preexisting condition. Coverage can no longer be canceled when the policyholder gets sick. Insurance companies can no longer impose annual or lifetime limits on payments for care. Adult children can remain on their parents’ policies until they turn 26. Policyholders cannot be charged extra for seeking urgent care at an emergency room that is not in the insurance company’s approved network of providers…

Republican leaders aren’t dumb enough to explicitly propose taking all these benefits away. But Democrats can, and should, force them to have that debate.