Should Democrats who decline to support Medicare for All be primaried?

[frazzled]

22. Politically not of this moment

One would be naive to think otherwise. People always respond to "policy" based questions in ways that support Democratic agendas, but these almost never erase the electoral divisions (take abortion, for example) or translate into victories. Those same people will vote for Republicans nonetheless--because, for the large part, Americans have no coherent political philosophies. Sad, but overwhelmingly true.

When you look back at the agonizing fight to get the ACA, and the current move to abolish it (not to mention our current minority status and a potential tenuous majority in the future), you cannot possibly imagine that suddenly we can implement wholesale the very game-changing policy of universal Medicare in one fell swoop. The tax and premium issues alone would be huge, and the eradication of the private insurance industry seismic. People with current employer-based plans would not necessarily be happy; there could be great resistance.

As Donald Trump found out, gee, health care is hard. You don't just snap your fingers and change things because you want them or they're a good idea. The better route would be to save the ACA, strengthen and amend it, work at adding a public option ... all of which would eventually, over time, pave the way to something like Medicare for All.