When John McCain ran for president in 2008, he offered up a health reform plan. Nobody paid all that much attention to it, because it was pretty clear that health care was an issue McCain didn't care about at all, and much like the "patient's bill of rights" George W. Bush had touted when he ran for president eight years earlier, it would be forgotten as soon as he took office. Four years later, Mitt Romney had something resembling a health care plan too, but once again, nobody paid much attention to what it contained, because any time health care came up, the only question was how Romney could square his stated position that the Affordable Care Act was a poisonous hairball of misery coughed up by the Prince of Darkness himself, while the plan it was modeled after, often referred to as "Romneycare," was a wonderful thing that everyone in the state where it was implemented seems to like.
Both McCain's and Romney's plans were mostly an amalgam of ineffectual half-measures and truly terrible ideas, but mixed in there were a few proposals that might actually be beneficial. And now that we're just days away from the full implementation of the ACA, some conservatives will be offering up similar reform proposals again (here's one).. The problem they face is that once millions of people have been enrolled in new insurance plans, you can no longer just propose to repeal the law, because that would mean kicking them off the insurance they have. "Repeal it!" only works as a battle cry when you can pretend no one would be harmed. So they have two choices: stop talking about health care entirely, or have some kind of plan you can claim you're proposing to put in its place. And Democrats can respond by actually agreeing to one or two of the Republicans' ideas. It sounds crazy, I know. But hear me out.