A divided Congress has prevented “Medicare for All” from taking off. So progressive activists have turned their attention to the states. Several have launched “public options,” health plans chartered by the state to compete against private insurers.
The results have not been impressive. People are not opting for public option plans, so state governments are beginning to rig insurance markets in their favor. Such intervention reveals that state officials intend for their public options to eventually become the only option for health insurance — at great cost to taxpayers and patients.
Washington and Colorado were among the earliest states to launch public option plans. They encountered roadblocks from the get-go. Washington’s plan, Cascade Select, had fewer than 800 individuals sign up during its first year.