A public option and a Medicare buy-in may be two of the Biden administration’s best-known health care initiatives, but a consultant said the partisan nature of today’s Congress means “they don’t have a chance” of becoming reality anytime soon. Dan Mendelson, founder of Avalere Health, and Anne Phelps, U.S. health care regulatory leader with Deloitte & Touche, gave their views on the 2021 health care outlook beyond COVID-19. They spoke during America’s Health Insurance Plans’ National Health Policy Conference on Wednesday. Mendelson said that with Democrats holding a razor thin majority in Congress, and with some Democrats having misgivings on expanding the government’s role in health care, there is not enough support in Congress for a public option or Medicare buy-in.