From PNHP:

A public option would not have worked before andr will not work now by virtue of being too small and administratively more complex. It would be subject to adverse selection of sicker enrollees as private insurers continue to game the system in their own self-interest. Most of the not-for-profit co-ops started under the ACA have already died for these reasons. It is just a make-believe idea to think that a public option could increase competition today now that the industry has grown and consolidated to a point that just four or five insurers control most of the market. The insurance industry and its lobbyists would also kill early buy-in to Medicare without any trouble. Any thought that either a public option or early Medicare buy-in could be a transitional step toward single-payer is likewise out of the question.

Also from PNHP (PDF) The “Public Plan Option”: Myths and facts

...... is that we must transition directly to single public payer, no opt-out, financed by mandatory taxation, now. (You know, like civilized countries have.) Limited Medicare and profit private "insurance" have reached the point where they cannot render healthcare any longer. The insurance industry has all but admitted it: they can't afford to supply coverage any more, but insist on maintaining their monopoly on selling it.

It's time (and then some) to disempower and kill off this particular sub-species of vampire squid.

comment! Hope all will consider getting behind #HR676

http://www.pnhp.org/news/2015/february/doctors-group-hails-reintroductio...
SNIP
Zarr, a Washington, D.C.-based pediatrician, continued: “An expanded and improved Medicare-for-All program would assure truly universal coverage, cover all necessary services, and knock down the growing financial barriers to care – high premiums, co-pays, deductibles and coinsurance – that our nation’s patients and their families are increasingly running up against, often with calamitous results.

“Such a plan would save over $400 billion a year currently wasted on private-insurance-related bureaucracy, paperwork and marketing. That’s enough money to provide first-dollar coverage for everyone in the country – without increasing U.S. health spending by a single penny.

“Such a program would also have the financial clout to negotiate with drug and medical equipment suppliers for lower prices, and would further save money through lump-sum budgeting for hospitals.

“In short,” Zarr said, “the enactment of Rep. Conyers’ bill would take us much further down the road to a humane, just and sustainable health care system than the 2010 health law, which, despite its modest benefits, will not be able to control costs and will still leave 31 million people uninsured in 2024, according to the Congressional Budget Office. Millions more will be inadequately insured, with skimpy coverage.”

Zarr pointed out that the Census Bureau reports there were 5.9 million uninsured children in 2013.

“Surveys have repeatedly shown that about two-thirds of the public supports a Medicare-for-all approach,” he said, “and recent surveys show physician support is also strong and growing. Hundreds of labor, civic and faith-based organizations have endorsed this model of deep-going reform.

The evil vampire health insurance companies MUST GO. Single-payer universal healthcare NOW! #HR676 #NeverHillary pic.twitter.com/cy66RRvEA6

— #BernieOrRevolt (@cooluser51) August 11, 2016