A Public Option Is Still the Wrong Way to Reform Health Care

There’s nothing ‘moderate’ about the suffering that will result from the supposed ‘middle ground’ between the status quo and a single-payer system.

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California officials have recently fined L.A. Care, America’s largest publicly operated health-insurance program, $55 million for letting poor Angelenos suffer and die as they waited months to see specialist doctors. And if advocates for a national “public option” in health care get their way, millions of Americans could soon face similar fates.

Created by the state of California and administered as an independent, local public agency, L.A. Care insures more than 2 million low-income people, including many eligible for Medi-Cal, the state’s Medicaid program. Unfortunately, the program’s beneficiaries don’t appear to get timely care.

Sally C. Pipes

About the Author

Sally C. Pipes

Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Her latest book is The World’s Medicine Chest: How America Achieved Pharmaceutical Supremacy — and How to Keep It (Encounter 2025). Follow her on X @sallypipes.

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