Some Democratic presidential candidates want to enact a single-payer, Medicare for All health care system operated by the federal government. Others want to pursue a public option that Americans can enroll in that would compete with private insurance plans.

And while supporters of the public option approach say their plan would allow Americans to stay with their private coverage, is that really true?

Phil Kerpen of American Commitment says the public option guarantees that we will end up with a single payer system - and probably sooner rather than later. In fact, that's what it was designed to do.

Listen to the full podcast as Kerpen explains why a public option would inevitably lead to single payer, how the insurance companies played both sides in the Obamacare debate, and whether Republicans are ready to defend a competing plan.