exploring such a measure. However, the latest effort in Connecticut died last month. "The lesson is this stuff is complicated," said Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University. "The dynamics between payers and providers are not always easy to direct from a state level." The complexity and fierce resistance from the health care industry are among the reasons why a public option was dropped from the Affordable Care Act legislation in 2010. While the state efforts help normalize the idea of public option, they don't necessarily put more pressure on Biden or Congress to move forward, said Billy Wynne, a health care consultant and founder of the Public Option Institute. But they could become more prevalent among states, which may need federal approval to institute their plans. "It does show that the Biden administration is going to need to respond to this appetite among the states to implement public option programs with federal support," Wynne said. More generous Obamacare subsidies vs a federal public option Though Biden campaigned on creating a federal public option -- rather than the fully government-run "Medicare for All" plan favored by Sens. Bernie Sanders and Elizabeth Warren -- he has not taken
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