Abstract
Attempting to enact Medicare for All in today's political climate is akin to a Starbucks barista saying he is torn between staying with his girlfriend and marrying Jennifer Lawrence: it is an unrealistic ideal. But if one also takes into account the genuine threat to the Affordable Care Act (ACA) from the Trump administration's decision to support a federal judge's controversial under-appeal ruling that the entire ACA is unconstitutional, the Medicare for All enthusiasm is even more alarming. It also ignores the unprecedented disruption to the lives of tens of millions of Americans such a massive change would create.
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