Every once in a while, you do something that is so stupid that even your best friends wonder if your head is screwed on straight. And sometimes, rarely but sometimes, things turn out better than you could ever have imagined. You stepped in the poop and only through good luck and the grace of God you came out smelling like strawberries.
Many of us wondered why Obama didn't push for Medicare For All when he had the votes in Congress back in 2009. Single-payer healthcare had been proven throughout the industrialized world to provide better health outcomes, had been proven to be cost-effective - half the cost per capita of the American insurance-based system. How could Obama cede America's first stab at universal healthcare to an industry that had strangled the life out of the American economy for far too long? Insurance exchanges? Subsidies for insurance companies?
Crazy like a fox...
If there are not enough votes for Medicare For All, get as many people covered as possible. Cash in as many chips as you can. Even lure in the insurance companies. But get people covered. And guess what. Once people get coverage, they don't want to lose it.
So, for seven years the Republicans screamed REPEAL. More recently, REPEAL AND REPLACE. Now? HOW DO WE FIX THIS THING. And there really is only one way to fix the ACA. The states - those places that the Republicans are fond of calling the labs of democracy - the states that went for expansion of Medicare are leading the way.
MEDICARE FOR ALL
Obama. Smarter than all of us.