Nice words, but what do they mean? What would Bush or any of his competitors do about the several million people who were unable to buy into a healthcare plan before passage of the Affordable Care Act because they were too poor or too sick with preexisting ailments? Would a Republican plan keep all the things people like about the ACA, such as letting young people stay on their parents’ plans to the age of 26? If so, how would all the good stuff get paid for if, unlike the current system, some people do not end up paying more to cover the costs of those unable to pay? And how many insurance company lobbyists will be pitching in to help design these “conservative reforms” that will “empower consumers"?