The Medicaid Public Option Is The Next Step

They called it “SprinkleCare” after the legislator that moved it forward in Nevada. While Nevada’s Republican governor Brian Sandoval did veto the bill, he did so in a way that didn’t seem to slam the door on the proposal. Ironically, I believe this plan could have very easily become law in California, which spent months spinning its wheels on a single payer plan that was half baked for reasons that had nothing to do with its cost—specifically, that it would depend on all kinds of cooperation from the Trump administration and would probably require several popular ballots to succeed.

The plan is basically this: anyone can buy into Medicaid, which is a state-run program to enough of an extent that the Supreme Court ruled that the federal government couldn’t force the expansion from Obamacare on it. This means that there’s a lot less dependence on the federal government to be cooperative.

Medicaid is popular with those that have it. A simple plan would be to enroll everyone in Medicaid and base the charge off their taxes. They can use a certificate from another insurer to not pay anything.

This isn’t “single payer now.” But it would provide universal coverage and has a lot less political veto points to pass.

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