In the year since the passage of the Affordable Care Act, there has been a resurgence of interest in moving the United States into a single-payer model for health insurance, both to contain costs and to increase quality and access to care. But some groups — like AARP, the nation’s largest organization representing seniors — have not joined the fray, because they believe that by supporting measures that go above and beyond health care reform, they will effectively be undermining it. According to advocates who continue to press for a single-payer system, however, the acquiescence of those sympathetic to pro-access arguments has had a significant impact on narrowing the debate over how the health care system in the U.S. should work — and on moving the center of gravity of that debate further to the right.
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