In a recent poll, a majority of Americans surveyed said they wanted health care reform to include some kind of public medical plan that would compete with private insurers to hold down costs. Somehow, the respondents felt, adding a government-sponsored option would discipline the marketplace and keep costs in line.
The only way that will happen, however, is if government reverses course after nearly half a century in which it has been one of the biggest drivers of health care expenditures in the country. The public sector already pays half of all health care bills and has been subject to…

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