the question is why are we not moving forward with a medicare for all single-payer program guaranteeing health care to all people which will be much more cost effective than we presently have? >> what do you think happens now? cheerily that is what you would like to see happen but the president is just talking about letting obamacare fail, cb objection says it's not imploding or on a death spiral like republicans are saying it is. what do you see happening? many democrats say things need to be amended or changed in obamacare. >> right. look, again, i believe in a medicare for all single payer program but it ain't going to happen right now. we don't have the support in the congress for that. so while we continue that long-term struggle right now we need to improve the affordable care act, and that means a public option available in every state in this country which gives people a wide variety of options but makes sure that there is competition in every community in this country.