"We warned the president -- don't ever, ever agree with the Republicans,"

[patrice]

164. The amount of time it takes depends upon the size & composition of the pools. As demand for higher

coverage rates and more alternative services changes the pools, the MLR will hold ins co profits at 15%. That's going to kill off insurance companies, at some point something like HR 676 will have to be enacted in order to save the ins cos. The final result could be Medicare for All (a.k.a. Single Payer) with some few remaining ins cos who provide upscale coverage for that market.

The questions are how long this will take compared to throw-Obama-out-and-start-over-from-scratch and what will Medicare for All/Single Payer cover relative to supplemental insurance packages (i.e. who's going to get the lion's share of that alternative services market).

Threatening a sitting President results in the OPPOSITE effect on your issue. Saying the strategy won't work and ergo you won't vote INSURES that it won't work. Letting everyone know that you won't vote, for whatever reason, does not happen in a vacuum. Opposing forces know what's going on so they know that all they have to do is wait and they will have to do NOTHING on the issue, as the movement away from a position insures policies that insure further movement away from a position. Their ascendance in this situation WILL create enough inertia to destroy literally in a Congressional vote HR 676 and set Single Payer waaaaaaaaaaaaay further back than going through the current process which includes the mandate that, combined with market forces, will reduce the size and power of the ins cos to something that can be throttled until it submits to its assigned place in a Single Payer system.