KIMBERLY STRASSEL: Our Self-Interested Senators.

The House bill isn’t perfect—no bill ever is—but it amounts to the biggest entitlement reform in history. It repeals crushing taxes. It dramatically cuts spending. And it begins the process of stabilizing the individual health-care market and expanding consumer freedom.

None of this is good enough for a handful of senators, so now it’s time to make this exercise all about them. Mr. McConnell should make clear that the overwhelming majority of the Republican Party stands ready to make good on its repeal-and-replace campaign promise—and that it would have done so already were it not for a cynical or egotistic few. It’s time for some very public accountability.

That rests in Mr. McConnell giving his caucus a drop-dead date to broker a compromise, after which he will proceed to bring up the House bill. And any Republican who votes against moving forward, “a motion to proceed,” will forever be known as the Republican who saved ObamaCare. The Republican who voted to throw billions more taxpayer dollars at failing entitlement programs and collapsing insurance markets. The Republican who abandoned struggling American families. The Republican who voted against a tax cut and spending reductions. The Republican who made Chuck Schumer’s year.

And that’s only a short list of the real-world accountability.