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The Evolving Public Plan Option

Yet another augmentation to a public plan option, which may be the best compromise yet. The idea being floated in Congress is to establish a robust, national public option but allow states to opt-out of the program if they wish. This essentially flips the Snowe/Carper state option ideas on their head, allowing for a simplified nationally administrated program with much more bargaining power compared to state-level public options. States could opt out via referendum, legislative vote, or by the governor’s power. The idea could effectively exhibit comparisons to alternative state-based strategies like co-ops, buy-in programs, or other private market innovation.

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