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Fake "Public Option" scheme trotted out every four years to hide the GATS lock-in for another four years.

What they call in Europe "services of general economic interest". Why can't it work here? Because the EU services were pre-existing to GATS, so are grandfathered in. If they made any changes, like Brexit, they would break too. Just ike the UK's have been gradually being privatized. And like us, they are not allowed to create any new ones unless they modify their GATS commitments, and if they had committed healthcare they likely have to pay a high price for doing so.