Getting from here to there politically is the hard part.
I wonder if the best approach is to start with something like allowing people over 50 to voluntarily buy in, and later lower the age.
Private insurance companies are less interested in those over 50 as they are more likely to have medical expenses, but they are still healthier than the typical Medicare program.
If voluntary it takes away the Republican charge of government take over of medicine--after all they claim their plans offer more choices. It also prevents objections from people who want to stay with their current plans. Currently even people over 65 have private insurance primary if they or their spouse get insurance thru an employer.
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