Yesterday, the 3 House committees responsible for health reform released a joint bill - the American Affordable Healthy Choices Act - that probably represents the most liberal version of whatever health reform legislation the country ultimately receives. Notably, it includes a public option, though one that the Congressional Budget Office expects to enroll only 10 million Americans by 2019.
So I've been wondering: do liberals who believe in some form of single-payer have an ethical obligation to enroll in the public plan, regardless of whether they already have health insurance, and in particular, regardless of how good that insurance is? I'm tempted to say yes, since the whole point of the public option is to compete with private insurers. If we believe that the country should have one dominant public insurer, it would seem hypocritical not to enroll in it when it comes into existence.
So now my question is: since I already have employer-provided health insurance, if I enroll in the public plan, will I have to pay my premiums out-of-pocket?