Progressives who favor a single payer program, such as Medicare for All, are frustrated by the current debate. Once again the "pragmatists" dominate the discussion, even though most of their ideas are anything but pragmatic -- absurdly complex, expensive and won't achieve universal health care. Single payer advocates, including physicians, have to commit civil disobedience to have their voices heard in Congressional hearings.
The savior is supposed to be the public option -- a private buy-in to Medicare that would prove the efficacy of public insurance. It's not horrible in theory, although the likelihood of a public option emerging from Congress being a fair test of public insurance is a long shot. Already Senate Democrats in the pocket of the financial services industry, like Chuck Schumer, are giving away the benefits of a real public option. But we shouldn't get too upset about that. The public option is the wrong bottom line. Our strategy needs to change, and we have much more power than we think we do. More below the fold.
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