US healthcare reform could proceed without a government-run insurance scheme, the Obama administration is increasingly acknowledging; a decision that would win over some conservatives – but would disappoint many liberals.
Kathleen Sebelius, secretary of health and human services, told CNN yesterday the public option – mooted as providing competition to private insurers and forcing down costs – was “not an essential element”.
The administration has tried to recapture the healthcare initiative and to calm a debate marked by angry protests.
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