So we will get to single-payer. The question is how and when.
One answer is offered by Congresswoman Tammy Baldwin, D-Madison, who wants to allow states to experiment with health care systems.
Under her plan, a progressive state such as Wisconsin or Vermont could develop a Medicare-for-all program. Other states could muck around with so-called "medical savings accounts" and other gimmicks developed by the insurance industry and its political mouthpieces. The evidence of which model works best would develop over time.
Canada went this route, with single-payer enacted first in Saskatchewan. Eventually, the reforms went national.
Baldwin has proposed a House resolution expressing support for state-based innovation in health care reform. And she has pushed to ensure that this sort of flexibility is part of any plan that comes out of the House.
So blue states will have single payer and red states will have what they have now.