Who pays for health care now? Sick, old people? Is the way the insurance companies currently function because of Left policies? THINK ABOUT IT. He's describing the current system as much as the alternatives that are NOT public options! This is really not that difficult.That's the entire point behind the healthcare policies. They are designed by the left to get young people to pay into healthcare, and to limit expenditures on the old and dying people. And by limiting innovation in the health industry through taxation and regulation, they will also limit the lifespans of future generations thereby fulfilling their desire for sustainable population growth (eugenics related idealogy).
Since you're not really interested in understanding what he was saying, the merit of the issues he brought up, regardless of ideology (he criticizes the administration in which he is an adviser), I can't be bothered to continue.