I just read about how the trigger would work. There would be, in effect, a public option, but it would only kick in, state by state, if the insurance industry doesn't meet income-related benchmarks. So, for example, for someone making $50,000, insurance costs will need to be less than, say, 8% of their income. If not, those people can buy public-based insurance.
The problem with the trigger: It's 2015. The GOP has managed to get control of Congress. (And yes, it will happen eventually. Even a stopped clock is right twice a day). In Pennsylvania the trigger is going to activate the public option, because people earning $50,000 have to pay more than 8% ($4000) per year for insurance.
But just then, surprise, surprise, the GOP Congress raises the benchmark to 10% for that income group.
What then? G o o d b y e t r i g g e r.
Hello, old system.
It just won't work. It won't give the insurance industry real competition over time. It's a sham.