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The payment architecture of American health care routes roughly $5.28 trillion in annual national health expenditures through a layered system of private insurers, employer plans, and federal programs.
What to do with that architecture is now a live dispute inside the House Democratic leadership.
House Minority Leader Hakeem Jeffries, D-N.Y., told NBC's "Meet the Press" on Sunday that he does not support Medicare for All; Rep.
Ro Khanna, D-Calif., called single-payer health care the party's most important priority.
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