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  "path": "/p/new-york-city-already-has-a-public",
  "publishedAt": "2026-03-16T21:33:09.000Z",
  "site": "https://cmarmitage.substack.com",
  "textContent": "I started with a simple question: could a city or state build its own public health insurance company?",
  "title": "New York City Already Has a Public Option for Health Insurance. A 2002 Memo Is the Only Thing Keeping It Small."
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