Government-controlled health care has been on the minds of benefits advisors for years now, looming as a distant threat, but often pushed aside for more pressing concerns. But during the opening keynote of the recent NextGen Growth & Leadership Summit in Nashville, Nelson Griswold warned that the benefits industry underestimates the threat of single-payer at its own peril.

Citing a progression from Hillary Clinton to Bernie Sanders, and a lack of clarity from President Trump, Griswold, a benefits industry thought leader and strategist, discussed the growing momentum around the idea of Medicare for All, adding that although government-controlled health care doesn’t generally poll well, everything changes when you ask Americans if they’re interested in Medicare for All.