Any ‘public option’ that is sufficient (i.e, full coverage free at the point of service) would immediately put insurance companies out of business. I’ve never understood the impetus to ban private insurance. Let them compete with M4A. They’ll lose, but it will be because people chose the free comprehensive insurance. All this technocratic tweaking of an exploitative industry isn’t necessary and just serves to confuse. Most people don’t even understand what M4A ‘is’. It doesn’t help when polls present it as merely “government run insurance”.