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Public Option: its not the size, its what you do with it

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Does size matter when it comes to Public Options? Yes and no.

Its not the size its what you do with it when it comes to Public Options. Even a relatively modest program could have large impacts on pricing decisions across the health insurance industry. It doesn't follow therefore that because the PO's we've been offered were marginal in terms of numbers of people covered, that the impact of removing this option on costs will be likewise marginal. If this is true, then people like me for whom the demise of the PO ( or an extension of Medicare) have switched us into the Kill the Bill camp may be many things, but we're not being irrational as this aspect of HCR was a key component in cost control for everyone, let alone its actual impact on those who would have benefitted from it directly.

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