SpaceX takes a very non-aggressive approach with its first stages. When they detach they arent moving nealy as fast as other rocket first stages. That is done so they dont slam back into the lower atmosphere but it means relying upon second/third stages to do the horizontal work. By the raw physics, it isnt the most energy efficient approach. It is a compromise to facilitate recovery.
Going beyond pure rocket engine for the 1st stage i think air-augmented rocket (http://astronautix.com/g/gnom.html) being simpler (thus cheaper) would be the next step that would get us closer (specific impulse wise) to what SABRE is targeting.
Also traditional rockets have most of the forces acting vertically. A horizontal launch space plane must also deal with a completely different set of forces.
Also, I wonder if the traditional safety requirement of an East coast is still necessary: that's an additional constraint on location. Plus the need to be closeish to the equator won't change.
the benchmark of today - SpaceX - separates the first stage at Mach6-8 at 65-80km height. Thus, the SpaceX second stage has less delta-v to add and don't have to carry all that weight - the SABRE would naturally be bigger than the 2nd stage for the same payload. The economical space related case of HOTOL/SABRE single-stage-to-orbit pretty much disappeared for a foreseeable future when SpaceX started to recover the 1st stage. That not to say about suborbital flights SF-Shanghai though. Or even "just" hypersonic as SABRE tech seems to successfully deal with one of the major/key obstacles for it (and that is huge, i'm in no way trying to dismiss their work). And one can see how SABRE can be used in some cases as a convenient 1st stage, i.e. by being able to launch from any big airport instead of only specially designed spaceports (such a 1st stage would probably be better than that https://en.wikipedia.org/wiki/Pegasus_(rocket)#Carrier_aircr...).