Regulatory Review June 9, 2020
States developing public options may offer the federal government valuable lessons in expanding access to care at a lower cost.
During the 2020 Democratic primary race, the debate over how to reform the United States’ health care system took center-stage. Some candidates supported creating a single-payer system operated entirely by the federal government—often called “Medicare for All.” Others, including the presumptive nominee, former Vice President Joe Biden, supported instituting a public option to operate under the framework set up by the Patient Protection and Affordable Care Act (ACA).
But as the debate played out on the national stage, states continued as “laboratories” of health policy by opening the door to state-level public option plans. The Washington state legislature...
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