If O'Rourke pulls it out in Texas, I don't think this will be the position the Democrats will be in come 2020. Beto is unabashedly running on a Universal Healthcare Guarantee, and has publicly said that he'd co-sponsor Bernie's M4A bill.
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The efficiency of single payer is in eliminating all other insurance. This "compromise" lacks the core benefits of having single payer (massive reduction in administrative cost, separating insurance from jobs, universality, elimination of copays/fees/premiums, progressive tax)
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