I am going with a cam change. I have actually looked into a couple different cams and have talked to one company about a 1 off cam grind. It will need valve reliefs and I know that will cause a drop in compression, but not that much if my math is correct. I am thinking if I drop compression, going down around 14:1 or so.
My thought is that this will allow for more air to be crammed into the cylinders so therefore more oxygen to burn.
My concern is though that it will not burn very efficiently and will outweigh the added benefit of the extra oxygen. Although the Mazda diesel dropped compression down into the 14 range and was able to be emmisions compliant without the use of urea.