Democrats prep for next round of healthcare fight

Democrats prep for next round of healthcare fight
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Democrats are heading toward a new phase in the battle over healthcare as they brace for a tough midterm election cycle.

With the GOP's ObamaCare repeal push largely on ice, Democrats are shifting their focus from defending the Affordable Care Act to pitching their own healthcare ideas.

The long-shot proposals have little chance of passing with Republicans in control of both chambers of Congress and the White House. 

But the competing measures could feed into the ongoing fight about the party’s future as Democrats search for a path out of the political wilderness.

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Sen. Bernie SandersBernard (Bernie) SandersOvernight Health Care: Azar defends approach on drug rebates | Trump presses Senate to act quickly on opioid crisis | Kentucky governor's Medicaid lawsuit tossed Poll finds Libertarian Senate candidate running ahead of GOP in New Mexico Senate GOP targets musicians Ben Folds, Jason Isbell as 'unhinged left' ahead of rally for Dem candidate MORE (I-Vt.) is expected to unveil a "Medicare for All” bill next month, using the August break to build momentum for the forthcoming legislation.

“Establishing a Medicare for All single-payer program will improve the health of the American people and provide substantial financial savings for middle class families. It is the right thing to do. It is the moral thing to do,” Sanders wrote in a Guardian op-ed.

Echoing his upstart presidential campaign last year, the Vermont senator is asking supporters to sign up as a “citizen co-sponsor” of the forthcoming legislation, arguing that it’s time “to wage a moral and political war against a dysfunctional healthcare system.” 

Sanders put universal healthcare at the center of his bid for the Democratic nomination, and the idea has gained traction amid a progressive resurgence within the party. 

Many of Sanders’s potential opponents in a 2020 presidential primary — including Democratic Sens. Kamala Harris (Calif.) and Cory BookerCory Anthony Booker2020 hopefuls skeptical of criminal justice deal with Trump Sentencing reform deal heats up, pitting Trump against reliable allies Bernie Sanders socialism moves to Democratic mainstream MORE (N.J.) — have voiced some support for a government operated healthcare system. Sen. Elizabeth WarrenElizabeth Ann WarrenOvernight Health Care: Azar defends approach on drug rebates | Trump presses Senate to act quickly on opioid crisis | Kentucky governor's Medicaid lawsuit tossed Trump lauds ICE at White House event Trump calls for public officials to praise ICE, Border Patrol agents MORE (D-Mass.) told The Wall Street Journal that “it’s time for the next step. And the next step is single-payer.”

Marissa Barrow, a spokeswoman for the Progressive Change Campaign Committee, said Democrats should embrace a “big and bold” agenda heading into the next election.

“We’re looking to make Medicare for all one of the big issues on the campaign trail,” she said. “We see it as an issue that could help unite the Democratic Party.”

But Sanders’s Senate colleagues who are running in red states have kept the proposal at arm's length.

Democratic Sens. Joe ManchinJoseph (Joe) ManchinDems to challenge Kavanaugh for White House records Overnight Health Care: Senate takes up massive HHS spending bill next week | Companies see no sign of drugmakers cutting prices, despite Trump claims | Manchin hits opponent on ObamaCare lawsuit Manchin hits opponent on ObamaCare lawsuit with new ad MORE (W.Va.), Joe DonnellyJoseph (Joe) Simon DonnellyDems to challenge Kavanaugh for White House records The Hill's Morning Report: Dems have a majority in the Senate (this week) Schumer to meet with Kavanaugh on Tuesday MORE (Ind.), Jon TesterJonathan (Jon) TesterSenate gets to work in August — but many don’t show up Pearl Jam criticized for poster featuring dead Trump, burning White House Montana GOP Senate hopeful touts Trump's support in new ad MORE (Mont.) and Heidi HeitkampMary (Heidi) Kathryn HeitkampDems to challenge Kavanaugh for White House records To solve the southern border crisis, look past the border The Hill's Morning Report: Dems have a majority in the Senate (this week) MORE (N.D.), as well as Independent Sen. Angus KingAngus Stanley KingOvernight Energy: Judge revives clean water rule | Keystone XL pipeline to get new environmental review | Nominee won't say if he backs funding agency Trump nominee won't say if he supports funding agency he was selected to run Trump draws bipartisan fire over Brennan MORE (Maine), joined with Republicans to vote against a single-payer amendment from GOP Sen. Steve Daines (Mont.) late last month. 

Heitkamp said Congress needs “realistic solutions” and that Daines’s maneuver — which was expected to fail — was a “political stunt.”

“We need realistic solutions to help fix our healthcare system. ... The decision was made in 2010 to go with a market-based system — the question is how we improve the system we have,” Heitkamp said in a statement.

Sen. Claire McCaskillClaire Conner McCaskillThis week: Senate tries to avoid landmines on massive spending bill The Hill's Morning Report: Dems have a majority in the Senate (this week) Schumer to meet with Kavanaugh on Tuesday MORE (D-Mo.), who like most Democrats voted “present” on the GOP amendment, also told constituents she would not support a single-payer proposal. 

“I’m going to disappoint a lot of you. ... I would say if a single-payer came up to a vote right now I would not vote for it,” McCaskill, who is up for reelection next year, told constituents during a town hall earlier this year. 

McCaskill added she would support allowing individuals who only have one option on the ObamaCare exchanges to buy into Medicare or Medicaid instead. 

Democrats face a tough Senate map in 2018, with 10 senators running for reelection in states carried by Trump. The nonpartisan Cook Political Report shifted three of those races — West Virginia, Indiana and Missouri — to “toss up” and North Dakota from “likely D” to “lean D” this week.

A spokesman for Sanders said he didn’t yet have an estimate for how many members of the Democratic conference would support the forthcoming legislation. One hundred and sixteen House Democrats are backing a separate House bill from Rep. John Conyers (D-Mich.) — the first time a majority of the House Democratic Caucus has supported the proposal.

Democratic leadership is trying to walk a fine line in the looming healthcare fight as they balance the competing interests of different wings of the party.

Senate Minority Leader Charles Schumer (D-N.Y.) has put myriad options, including single payer, “on the table.”

“We're going to look at broader things — single payer is one of them,” he told ABC News. “Medicare for people above 55 is on the table. A buy-in to Medicare is on the table. A buy-in to Medicaid is on the table.”

Overall, 33 percent of Americans believe healthcare should be a “single payer” setup, according to a Pew Research Center poll from late June, compared to 52 percent of Democrats and 64 percent of liberals.

The poll also found that roughly 60 percent believe the government is responsible for making sure all Americans have health insurance. 

The coming fight over healthcare is the latest example of a vocal progressive wing trying to flex its muscle and push the Democratic Party to the left in the wake of the 2016 presidential election. 

When Sanders introduced a bill to raise the federal minimum wage to $15 — a key issue between himself and primary opponent Hillary ClintonHillary Diane Rodham ClintonClinton to headline trio of DNC fundraisers: report Allegations of ‘Trump TV’ distract from real issues at Broadcasting Board of Governors Chelsea Clinton: Politics a 'definite maybe' in the future MORE — 30 Democratic senators signed on to the bill, compared to five supporters for a similar bill in 2015.

But red-state incumbents aren’t the only Democrats worried about embracing single payer.

Sen. Dianne FeinsteinDianne Emiel FeinsteinThis week: Senate tries to avoid landmines on massive spending bill Dems to challenge Kavanaugh for White House records Democrats question if Kavanaugh lied about work on terrorism policy MORE (D-Calif.) received pushback at a town hall in San Francisco when she said told constituents that she wasn’t “there” on single payer. 

Asked if he could support a single-payer system, Sen. Tim KaineTimothy (Tim) Michael KaineSenators demand answers on reported lead poisoning at Army bases GOP Senate candidate photoshops Tim Kaine shaking hands with Stalin Senate GOP candidate Corey Stewart called kneeling football players ‘thugs’ MORE (D-Va.), Clinton’s vice presidential pick, noted Sanders would be introducing a bill but that he has “a different view about what we ought to do.” 

“I want people to have more options, not fewer. ... I would like to explore a circumstance under which there could be a public option, like a Medicare Part E for everybody that you'd have to buy into,” Kaine, who is also up for reelection next year, told ABC News earlier this month. 

Democratic Sens. Debbie StabenowDeborah (Debbie) Ann StabenowTrump draws bipartisan fire over Brennan The farm bill gives Congress a chance to act on the Pet and Women Safety (PAWS) Act Michigan county investigating ballot shortage in election MORE (Mich.), Tammy BaldwinTammy Suzanne BaldwinTrump touts GOP election wins: ‘We have the team we want’ The Hill's Morning Report — GOP seeks to hold Trump’s gains in Midwest states Dems make history in Tuesday's primaries MORE (Wis.) and Sherrod BrownSherrod Campbell BrownThe Hill's Morning Report — Trump’s GOP feuds dominate ahead of midterms Dustbin 2020: The best Dems who surely won’t get the nomination Vulnerable Dems side with Warren in battle over consumer bureau MORE (Ohio), who are each up for reelection in states carried by Trump, are offering legislation that let Americans between the ages of 55 and 64 buy into Medicare. 

Barrow called the move a “positive step,” though the end game is either a single-payer system or a state-by-state or federal Medicare option for everyone. 

Sanders has also acknowledged that with Republicans in control of Congress, his bill is unlikely to pass. He outlined three steps to take in the meantime: passing legislation to get the public option in every state, lowering Medicaid eligibility to 55 and lowering the cost of prescription drugs.

But he is also prepared to take his argument for a broader single payer bill into Trump territory. He’ll hit the road with stops in Indiana, Ohio and Michigan to discuss healthcare and the economy, including a rally with Conyers where they’re expected to discuss Medicare for all.

Barrow added that the Progressive Change Campaign Committee is already reaching out Capitol Hill offices and will keep up their effort through 2018 and beyond to get Democrats to “wrap themselves in the flag of Medicare.”

“If you go into a red state … it’s a super, super popular program in red states, blue states and purple states,” she said. “It’s going to be a winning issue in 2018 especially in those red and purple states.”