Now that Americans by the hundreds of thousands are signing up for health insurance coverage, reformers are moving on. They want high health care prices to be disclosed and driven downward. They want the most effective care providers identified for the public. They want a medical extension service to get best-practice ideas out to busy providers in stressed rural areas. They want mental health care to be better coordinated with primary medical care, so communities no longer have to use jails as mental hospitals. Last week, as Washington's Legislature wrangled its way to adjournment, Gov. Jay Inslee and other advocates for health care reform declared themselves to be more or less pleased: It took a fight, but lawmakers passed bills to start implementing every one of these ideas.