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He has long been saying that if we were starting from scratch then single payer is the obvious way to go (whether you agree or not) but that we aren't starting from scratch and that it is a waste of time to chase something that is essentially impossible to achieve in a single step.
And he's right. Even if we go single payer on the coverage side it would be doomed to near immediate failure unless we also nationalize the care provision side (otherwise, what happens when the buyer is required to buy regardless of price? Prices go up, quickly). And that really is politically impossible in this country.
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