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The problem with single payer is that all Americans will hear is "tax increase". To pass something like this it would need to take effect almost immediately, because there will be huge political blowback and folks will be voted out of office.
The other problem is a public option literally has the same end result (most likely, anyway) but doesn't provide a catastrophic (if temporary) shock to a $3 trillion sector of a $19 trillion economy in the process