1/ My perhaps-unpopular opinion is that the public option failed, in part, because its supporters were really only interested in it as a transition to single-payer utopia. That is, they were never actually interested in the public option as a viable or desirable option.
2/ More importantly, if we actually decided to invest in public healthcare facilities that didn't remind users of a big city bus terminal, we'd be forced to abandon all the moralizing language and deal with this for what it is: a problem of competent public administration