"After the Great Depression and after public urging, a nationwide public competition was held to determine a design for a memorial that would honor President Thomas Jefferson's bold vision for westward expansion for America."

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Because you want to have competition to drive down the price. You want innovation. You have the ability to get people to agree that it's worth having a public plan. You could get private insurers to cover this population, but you couldn't without giving the population leverage in the marketplace.

— Maria Cantwell