I can't be certain, but my impression is that Biden would try and convince the Congress to add a public option to the ACA. He is probably thinking that that would add medicare's cost control features to the ACA. If the public option proves popular, then eventually most people would voluntarily go that route and there would be a gradual, rather than sudden, transition to medicare for all.
Although I hope Biden does not get the nomination, I can see the wisdom in his approach to a gradual transformation of U.S. medical care -- assuming I have his intentions correct. I would prefer even a rapid transition to medicare for all if leaving the government protected medical cartel firmly in control were our only other option, although i can see how that could be quite a shock to the system.* I will vote for Biden if he gets the nomination. What choice is there! I'll not vote for a sociopathic gangster to lead our nation.
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*Few of my younger colleagues have much understanding of medicare. They think the medical insurance industry, which is huge, would disappear overnight with millions being thrown out of work. But that would not happen. Virtually everyone on medicare still has private insurance to cover the 20% that medicare does not cover. And any public option that might pass Congress -- or medicare for all, that couldn't pass-- would undoubtedly contain a bone thrown to the private insurance industry. Let's not forget, however, that the present system lets private, for profit companies skim off all the young and healthy and dumps all the old and sick on medicare. THAT'S WHAT WE MUST CHANGE. Either medicare for all, or a more likely gradual transition to the same via the public option, would change this untenable and unsustainable arrangement. To make medical care affordable, both the healthy and the sick must be in the same pool! The large, approximately 50%, cost savings that could potentially be realized would, of course, come out of the ridiculously insane salaries and profits of those at the top of the Medical Cartel pyramid. The rich will remain rich, but a little less so, the poor will remain poor, but a little less so. And in 20 years everyone will have gotten over it.
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