It drives me nuts how debate centers around making 20th century institutions solve 21st century problems. I'm not an expert in health care delivery - maybe in the end expanding Medicare is the best thing we can do - but why isn't there at least one really imaginative option on the table, or at least an imaginative argument for why Medicare expansion is a good (or bad) idea? This is all so predictable.
In return for concessions on their proposal for a new government-run health insurance plan, liberal Democratic senators pushed Monday for expansion of Medicare and Medicaid and more stringent federal regulation of the insurance industry.
...
Several liberals said they had reluctantly concluded they could not get the 60 votes needed to win Senate approval of a bill including a public option. Accordingly, the liberals are pushing for expansion of Medicare and Medicaid.
Months and months of debate, and all that has come out of it is "doing the same thing but bigger." Imagination FAIL.


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