General Discussion
In reply to the discussion: No, President Obama Is Not A Hall-of-Fame-Worthy BS Artist, aka Why I Defend The ACA [View all]jeff47
(26,549 posts)"GOPcare" gets us to single-payer.
The ACA moves the battle for single-payer from the federal level to the state level. Republicans have an advantage at the federal level, thanks to the low-population states. So moving the battle to the states is good for us.
VT is already going single-payer in 2018. It will be fairly easy to get other "blue" states to at least add a public option in 2018. With no need to profit, the public options will turn out to be cheaper. That'll cause people to buy those plans. The lack of dead bodies will cause more people to buy those plans. That will drive private insurance out of those states. Now you have de-facto single-payer.
The insurance companies know this. That's why they killed the federal "public option". But they have far less power in the blue states.
With the blue states happily operating in de-facto single-payer, purple states will notice the cost savings and lack of dead bodies. That will add public options to those states, which will go through the same pattern, and destroy private insurance in those states.
Then we can return to the federal battle. The reality of all those blue and purple states, and the much poorer insurance companies, will destroy the FUD used to fight single-payer. And we'll be able to get national single-payer. Probably via another "public option" of a Medicare buy-in.
I have no idea why so many in our party refuse anything but instant gratification. We didn't get to this right-dominated government on one November day in 1980. It took decades of work before and after that date. We can not undo that work with one November day in 2008.