In a private meeting with employees, Aetna CEO Mark Bertolini was asked about single-payer healthcare and how it would impact the company. Vox obtained video of his remarks where he said he’s open to discussing a form of single-payer where insurers would still be involved.

“If the government wants to pay all the bills, and employers want to stop offering coverage, and we can be there in a public private partnership to do the work we do today with Medicare, and with Medicaid at every state level, we run the Medicaid programs for them, then let’s have that conversation,” Bertolini said. “But if we want to turn it all over to the government to run, is the government really the right place to run all this stuff? And that’s the debate that needs to be had. They could finance it, and if there is one financer, and you could call that single-payer.”

A spokesperson for Aetna later said Bertolini wasn’t “advocating” for single-payer, but pointing out past experience with public-private partnerships in health coverage.

For more of Bertolini’s answer, click on the link below: