or my god he might not be approved by medicare and medicaid steven just doesn't fundamentally understand the issues that the adults are discussing about things like rural access to health care the in-network stuff is a side issue but that could be entirely solved by single-payer health care so if steven wants to endorse medicare for all he's welcome to as long as private insurance is a primary driver of coverage you're going to have in-network and out-of-network issues it's a byproduct of the combination of of the market and healthcare.