--- - |2 Abstract The recent rise of “Medicare for All” in American political discourse was many years in the making. Behind this rise is a movement composed of grassroots activists and organizations focused on the goal of establishing a single‐payer health care system in the United States. I examine the ways in which activists used narrative to interpret opportunity within their historically specific environments to work towards this goal. I find that while the Single Payer Movement's narrative practice during the Clinton era was focused on opportunity within the political sphere, the focus in the Obama era shifted to mobilizing the public sphere, or grassroots opportunity. This was related to the critique that the Obama Administration was engaging in “politics as usual”, which was defined as the “enemy” of “real” health care reform. This narratively produced critique is tied to the anti‐establishment turn that factors into the current era of American politics. - 'Journal of Historical Sociology, EarlyView. '