Unless the "public option" is free or inexpensive it's snake oil.. and dangerous snake oil at that.

[Celerity]

65. I do not see a public option being passed (let alone MFA)

Too many trillions at stake (at present rates of increase, our nation will be spending 5 to 6 trillion USD per year on healthcare 10 years from now), and big healthcare (hospitals and doctors), big pharma, and big insurance will spend hundreds of millions to crush it. They are already starting, and have vowed for years to do so. It is going to be painted as a GIANT socialist take-over, and it does (rightly so IMHO) put the rentier for-profit healthcare leeches directly in the target sights, so they will look at it as a battle for their very existence, a battle to keep their rapacious gravy trains a rollin'.

We have 108 (almost half of entire total) House members in centrist caucuses, ie The New Democrat Coalition, The Blue Dog Caucus, and the truly problematic No Labels bi-partisan Problem Solvers Caucus. Right now it only takes less than 20 defections to scupper the public option. Even if we gain back the Senate, we have to deal with people like Manchin, Sinema, Doug Jones (if he wins in 2020), Carper, Cooms, Tester, Angus King, etc., who may not support a public option when the rubber meets the road.

I am only being realistic in my pessimism. Hell, the SCOTUS may strike down the ACA. If that happens we will be lucky to get remotely back to where we are now (which is far from a good place atm.)