Do you think Single Payer can pass the Congress in the near future? Doesn't have to. That will come later. For the time being, the states that are letting the feds set up their exchanges just volunteered to be guinea pigs for a nationalized system.Though Vermont and (I think) Montana are looking at single payer as well.This situation could cascade very quickly into a situation where is simply makes more economic sense to, rather than have the feds manage numerous state exchanges, to simply make the whole system national. Combined with certain concessions including allowing private insurers to sell insurance across state lines, it could release a new and vibrant market where private insurers are tripping over themselves for the chance to compete with a "public option". This would, of course, totally destroy the status-quo in the private health insurance market. But who would say that's a bad thing?
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