She has said that she "believes strongly that a single-payer health system is the best way to comprehensively and fairly reform our health care system." In November 2009, Baldwin voted for the version of health-care reform that included a public option, a government-run health-care plan that would have competed with private insurers, but only the House passed that version. She ultimately voted for the Patient Protection and Affordable Care Act, also known as Obamacare, which became law in 2010. Baldwin said she hoped a public option in the ACA would lead to a single-payer system. The first version of the ACA Baldwin voted for included a public option, but the final version did not.