Based on Washington’s record of health policymaking, ending or rolling back Obamacare is anything but implausible. Now that President Barack Obama has signed the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act, much of the focus of the nation’s ongoing health care debate will center on the impact of Obamacare’s provisions on businesses and employment-based health insurance, as well as the contribution of new taxation and regulation to the rising cost of health insurance premiums and the intrusive regulatory changes that will be imposed by the Secretary of Health and Human Services on state health insurance markets. One of the routinely stated objectives of the Obama health policy agenda was to get health care costs under control; it doesn’t. Moreover, official Washington’s obsession with controlling, defining, regulating, and restricting private-sector health insurance options overlooks the obvious: Real cost control begins with