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Why is this where the party is arriving? There are three main reasons. First, this kind of plan satisfies, at least for the most part, the progressive desire to insure everyone and eliminate the pathological features of the current system. Second, it addresses what is probably the greatest vulnerability of single-payer plans: the fear of change. It’s foolish to think that fear can be eliminated through sufficient logical persuasion, and Republicans will absolutely exploit it when they fight against whatever Democrats propose. So the fact that joining Medicare would be voluntary is essential to these proposals.

And finally, it’s easy to explain. I cannot stress enough how important this is. The ACA was an absolute nightmare to explain to people, which left it vulnerable to all the demagoguery and lies Republicans could muster. Like Medicare-for-all, Medicare For Anyone is just three words, and it requires no explanation at all. You know what Medicare is, right? It’s the program your grandmother is on, the one she loves. Now anyone can join. That’s it.

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