Yeah - asking the question more as potential fodder for another blog post vs quick and easy answer in a comment. As you said, the Supreme Ct decision enabling Republican-run states to opt out of expanding Medicaid coverage hurts #1. But what about other ways to affect #1, like getting the healthier, non-Medicaid eligible (regardless of an expansion) to buy into the plan? But I guess that’s hard to do without lowering #2. Which is made even harder with declining competition. Feels like it’d be impossible to pass, but a public option to hit #1 and #2 seems likes the smartest option, but curious on your thoughts of feasibility and effectiveness if it actually went through.
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