The Democratic Party is quickly coalescing around an ambitious Medicare-for-All platform — and Rep. Pramila Jayapal (D-WA) is shaping up to be a major voice in that debate.

Jayapal co-chairs the Congressional Progressive Caucus and, earlier this week, released a sweeping new plan for single-payer health care in the United States. Her proposal is arguably the most ambitious we’ve seen yet. It envisions a wider set of benefits and a much quicker transition to government-run health care than the plan offered by Sen. Bernie Sanders (I-VT).

Vox Senior Policy Correspondent Sarah Kliff, who is filling in for Ezra, sat down with Rep. Jayapal to walk through how this Medicare-for-All plan came together. We get into why Rep. Jayapal thinks it’s possible for the United States to move to government-run health care in just two years, and which countries’ health systems she thinks of as good models for where the United States should head.

In this conversation, you’ll get a sense of Rep. Jayapal’s theories of governing, how they differ from those of Obama-era Democrats, and why she doesn’t think she needs buy-in from the powerful hospital and insurance lobbies to pass new legislation.

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