Duncan Black is 100% right. The White House has lead on health care reform to the place where they want to see the legislation being. That place does not include a public health insurance option because the White House does not want there to be one. They are not currently trying to get one and its absence from their proposal almost certainly assures that there will not be one. Duncan writes:
There isn’t just a lack of leadership for key progressive pieces from the White House in health care reform. It’s that they are actively support alternative positions to progressive reform, most clearly on the public option. This is most directly attributable to the fact that the White House does not want the same things the progressive activist base want.