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allowing insurance companies to offer junk packages to the young keeping them out of the public pool.

And young people would opt for the junk private packages over the public option with better coverage and an undercut pricepoint because....?
What I ultimately would like to accomplish is not going to happen right now. We have Republicans controlling the House. And many of the views that I hold, including Medicare for All — I think if we had a vote tomorrow, we’d get 15 to 20 votes in the Senate and would not win in the House. I realize that. But I happen to believe our current health care system is dysfunctional.

He's just pragmatically saying it needs to pass congress and it won't pass congress as congress is right now.
A reminder that the more we work to elect people to congress who will pass this, the more realistic it is that we can pass it. >

Progressives need to learn that changes happen gradually and through compromise.  Wild ideas and promises goes nowhere and only leads to disappointment.  
I rather them work to promote whatever Progressive changes they can actually get passed than just trying to go for hail Mary that would nvr happen. >

Change? Not yet in this country. Electorate is too conservative for that. More socially liberal maybe, but still conservative.
Hopefully Millennials pull through for Gen Z.
a far higher share of Americans still hold fiscally conservative views >

For universal healthcare the insurance companies would fight it. >

It's sad but I'd be giddy for just a public option to buy Medicare at this point. Would put so much pressure on private insurance prices. >

the public opinion would simply move the most expensive to insure onto the public pool, allowing insurance companies to offer junk packages to the young keeping them out of the public pool.