10% of Americans still do not have affordable healthcare, because a few states do not expand Medicaid. The White House, U.S. Senate, and House of Representatives must expand Public Option in all states in 2022 or 2023 to provide healthcare to the ten percent still without. Private Health plans will remain as they are under the Affordable Care Act. Public Option would provide affordable healthcare to 10% of Americans only. This is a very tragic situation for 30 million Americans not to have healthcare in the richest country in the world.