Reply #14: You have sound concerns......

[Faryn Balyncd]

.....And while I believe that Single Payer is the best outcome, I think the actual practical route to Single Payer is through such a voluntary system (as you describe) of younger people opting in to Medicare.

While such an option will likely lead to Single Payer, eliminating Medicare by forcing future retirees to continue with private insurance (as mandated in the Emanuel/Fuchs proposal) would seem to make an evolution into Single Payer impossible.

And such privatization of Medicare, and the elimination of public options, is the present danger of which Howard Dean is warning.