As I have said for years, Obamacare is not the endgame. It’s not the goal.

It’s the camel’s nose under the tent flap. It’s just a means to an end.

And that end is single payer.

Rep. Barney Frank said the public option was the best way to get to single payer.

They failed to get the public option, but the goal remains the same. Michael Moore proves in in the New York Times:

The Affordable Care Act is a pro-insurance-industry plan implemented by a president who knew in his heart that a single-payer, Medicare-for-all model was the true way to go. When right-wing critics “expose” the fact that President Obama endorsed a single-payer system before 2004, they’re actually telling the truth.

Let’s not take a victory lap yet, but build on what there is to get what we deserve: universal quality health care.

How are they going to do it?

State by state:

In blue states, let’s lobby for a public option on the insurance exchange — a health plan run by the state government, rather than a private insurer. In Massachusetts, State Senator James B. Eldridge is trying to pass a law that would set one up. Some counties in California are also trying it. Montana came up with another creative solution. Gov. Brian Schweitzer, a Democrat who just completed two terms, set up several health clinics to treat state workers, with no co-pays and no deductibles. The doctors there are salaried employees of the state of Montana; their only goal is their patients’ health. (If this sounds too much like big government to you, you might like to know that Google, Cisco and Pepsi do exactly the same.)

All eyes are on Vermont’s plan for a single-payer system, starting in 2017. If it flies, it will change everything, with many states sure to follow suit by setting up their own versions.

Moore even offered the first excuse for Vermont’s coming failure: corporate money.

This is happening, just as the right said it would.


The left plays long ball, planning things years in advance.

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