Ryan got one bite at the apple on “market reforms.”
Trump has openly praised single payer in the past. There is no earthly reason he would oppose the type of modified single payer that a public option would impose.
And as someone inside the industry, I’m telling you the insurance companies and hospitals would line up to support it. Their logic is always “break even” on government plans and make money on private plans. If you turn the money losers that the high deductible plans are for everyone into “break even,” the industry will line up to kiss your feet. And NO ONE in this industry is opposed to a government payout.
PS
They would oppose Medicare for All because the carriers and the hospitals need the private payers.
Single payer is the mid-term outcome, and nobody can stop that.
Ryan and the House Republicans had a chance and pissed it away.
Hundreds will run, and win, on Single payer in 2018, D and R. And Trump will be a vocal champion.