(Bloomberg) — The Senate's most conservative Democrat said Tuesday Congress should consider adopting a single-payer health care system, a sign of how fast politics are shifting on what was once seen as a fringe issue on the left.

"It should be explored," said West Virginia Senator Joe Manchin, who faces re-election next year in a state President Donald Trump carried by 42 points. "I want to know what happens in all the countries that have it — how well it works or the challenges they have."

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