Public option hits a wall in blue states

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Public option hits a wall in blue states
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Legislation around the country to create government-run health insurance plans — a longtime progressive goal — has stalled over political and financial roadblocks

This was supposed to be the year blue states created government-run health insurance plans, after health care-fueled midterm election victories.

Democrats hoped to leverage the party’s newfound advantage on health care to make progress toward universal coverage this year. Some progressive activists said they can be patient as Democrats take time to design workable plans — especially as the party tries to defend against the Trump administration's attacks on Obamacare — but they said the base expects them to follow through.

But the problems state Democratic lawmakers are confronting echo those the party would face at the national level if they sought a similar overhaul upon taking back Washington: How much to pay health care providers, how much to subsidize people's health care costs and how much of the private insurance market to preserve — if any.

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