So many issues disappear or become red herrings with universal single payer coverage.
My view that is single payer is a 20th century solution to a 21st century problem. Switzerland has an excellent universal coverage plan, and the voters there have rejected a move to single payer a couple of times over the last decade or so.
But, larger picture, yes, this is a matter of a national decision. Michael Graham wrote this today, which summarizes the actual issue here rather poignantly:
But not all party-line votes are created equal. Obamacare was a fundamental shift in how our government treated health care. It wasn’t a debate over how high to set premiums. It was a clash between the fundamental values of the two parties: Collective action v. individual responsibility; government power v. personal choice. It’s hard to compromise on core principles.
The GOP are, in my view, ready to do universal coverage. They will never sign off on single payer, and if it somehow were to pass without them (you can’t do single payer on reconcilation, meaning you need not just 60 Dem Senators, but over 70, because you don’t just need 60 Dems, but 60 PROGRESSIVE Dems) they’ll never stop trying to rip it down, because they will fundamentally believe that it’s not the best we could do.