Some Republicans just want President Trump to shut up about Obamacare repeal. As reports trickle out that the White House is quietly hatching an Obamacare replacement, some in the GOP establishment want Trump to stop reopening the wound of healthcare policy and to just leave things as they are.

But things cannot be left as they are. The nation’s healthcare system is heading off a cliff, at the bottom of which is socialized healthcare. It may merely be socialized health insurance, known as “single-payer” healthcare or “Medicare for all.” It may be an even more fully socialized healthcare system as in the United Kingdom, where doctors are agents of the state.