Or, worse, they know what it is, but just don’t want it. From HotAir.com:

Why go through the expense and bureaucracy of creating a government-run insurance plan when all that needs to be done for Alabama and North Dakota is to allow insurance companies from other states to compete? Because, as Axelrod fumbles through explaining, the administration isn’t interested in competition at all, but in dictating terms to insurers, providers, and consumers.

Allowing insurance companies to compete on a national level would help eliminate the insurance monopolies that dominate certain states. Wolf Blitzer knows it. David Axelrod knows it, too. Watch: