Piercing the Fog of a Public Option

A public option is only likely to expand overall health-insurance coverage to the extent that it is subsidized with additional funds.

NRPLUS MEMBER ARTICLE A mericans appear eager for more affordable health-insurance choices, but don’t want major middle-class tax increases or the government to ration their access to medical care. Whereas a November 2019 Quinnipiac poll found Americans opposed to single-payer proposals 36 percent to 52 percent, the same survey found them supporting the establishment of a public option by a margin of 58 percent to 27 percent.

The state of public opinion has caused Medicare for All advocates to repackage their preferred health-care reform as an ostensibly voluntary public option. The nature of a public option varies greatly depending on the extent to which it

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