I´ve been something of a skeptic, perhaps even an alarmist, about the idea of dumping decisions on how to design the health care system on the states via some sort of state opt-in or opt-out of the public option, in part because of the likely impact on the 2010 campaign in states across the country, and the impact of the campaign on health care decisions.
Turns out we may be getting a preview of the latter dynamic:
At the final debate of the race last night, Virginia Democratic gubernatorial nominee Creigh Deeds said he “shared the broad goals” of health care reform, but would “certainly consider opting out” of a public option “if that were available to Virginia.”
“I’m not afraid of going against my fellow Democrats when they’re wrong,” Deeds said. “A public option isn’t required in my view.”
This could become a pretty common line in 2010 if states are indeed asked to figure out the public option and the many related decisions about health care.