The Atlantic

The Most Critical Argument Democrats Will Have in 2020

Expect way more fighting over health care before the next set of presidential debates.
Source: Jordan Gale / Reuters

The battle over health care is emerging as the most consequential policy choice facing Democrats in the 2020 presidential contest—and it’s one that could play out over time to Joe Biden’s advantage.

As last week’s debates demonstrated, Democrats now face a stark choice: a nominee who would establish a government-funded, single-payer, national health-care system that bans private health insurance, or one who would maintain the availability of private insurance while seeking to increase coverage by enrolling more Americans in the Medicare system.

The debates produced the most pointed skirmishing on the issue yet, with Senator Michael Bennet of Colorado and former Representative John Delaney of Maryland, who are both lagging in the polls, aggressively making the case against a single-payer system that would ban almost all private insurance. But the encounters also set in motion a dynamic that virtually guarantees greater conflict among higher-ranking candidates over this issue leading into the next debates in late July.

Most candidates across the two nights of debate said they oppose a plan that would eliminate private insurance. But those who support elimination include three of the four candidates who have emerged as the race’s clear top tier in the post-debate polls: Senators Bernie Sanders of Vermont, Elizabeth Warren of Massachusetts, and Kamala Harris of California. The only top-tier candidate who would maintain private insurance is the former vice president.

As Biden tries to recover after a shaky performance at

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic3 min read
They Rode the Rails, Made Friends, and Fell Out of Love With America
The open road is the great American literary device. Whether the example is Jack Kerouac or Tracy Chapman, the national canon is full of travel tales that observe America’s idiosyncrasies and inequalities, its dark corners and lost wanderers, but ult
The Atlantic6 min read
There’s Just One Problem With Gun Buybacks
One warm North Carolina fall morning, a platoon of Durham County Sheriff’s Office employees was enjoying an exhibit of historical firearms in a church parking lot. They were on duty, tasked with running a gun buyback, an event at which citizens can t
The Atlantic8 min readAmerican Government
The Return of the John Birch Society
Michael Smart chuckled as he thought back to their banishment. Truthfully he couldn’t say for sure what the problem had been, why it was that in 2012, the John Birch Society—the far-right organization historically steeped in conspiracism and oppositi

Related Books & Audiobooks