That’s how Politico describes the coming House bill: 

Pelosi will include a public option in which doctors can negotiate their rates with the government, despite her obvious preference for a plan pegged to Medicare.

Education and Labor Committee Chairman George Millerconfirmed the decision after leaving a Wednesday evening session to discuss the bill with second-term Democrats.

Pelosi last week thought she could get the votes for the more liberal plan – one tethered to Medicare — but concluded that she could not muster the 218 votes, amid resistance from fiscal conservatives in the House who said it would bust the budget.