President Trump, House Speaker Paul Ryan and Senate Majority Leader Mitch McConnell are not going to replace the American healthcare system with a free market. There are just too many obstacles, political, moral and economic.

But the Republican Party does have a chance to create small experiments in market-based healthcare amidst the tangle of safety net programs, and outside the reach of Byzantine insurance regulations. If they write a bill that allows these experiments by either states, individuals, or organizations, they might transform the industry in the long run and perhaps beat back the Left’s hitherto relentless march toward socialized healthcare.