I don't understand why Sanders and Leahy aren't pushing/proposing the same system we have here in Vermont. The state has negotiated with two insurers (Blue Cross and MVP) to both offer a decent, more or less identical plan to all Vermont residents. The premium is just under 400 bucks per quarter (so about 130 a month), and if you are poor, the state will subsidize some or all of that premium. (I'm on unemployment, so I pay 60 bucks a month for the plan). It's not much different from the Blue Cross plan I had with my previous employer, which was costing three times as much under COBRA.