First, being stuck with 20% of your medical costs is still alot cheaper than not having any insurance whatsoever.
Second, it could be the start of single payer. Once we allow people to buy-in medicare/medicaid - it's a matter of revisiting this bill and altering the ages in order to include more people.
HCR is not a one shot deal. There is alot of good in this bill even with the 'bait&switch'. And I feel with the medicare buy-in we could be on our way to single payer much easier than with the public option.
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