The Senate’s dramatic vote on health care reform early Monday morning was a bittersweet moment for those who have been fighting to increase competition and accountability for private health plans. On the one hand, the vote moved the United States a major step closer to joining the company of other affluent democracies and ensuring every American is guaranteed affordable, quality health care. After nearly a century of defeated attempts, we stand on the threshold of historic changes that will provide major new subsidies for health insurance, impose new requirements on insurers and create a new means — the so-called exchanges...