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Thursday, November 14, 2019

The Point: 'Medicare for All' looks like a political loser for Democrats


November 14, 2019  | by Chris Cillizza and Lauren Dezenski

'Medicare for All' looks like a political loser for Democrats

The fault lines in the 2020 Democratic presidential primary are clear when it comes to health care.

On one side are Sens. Bernie Sanders (Vermont) and Elizabeth Warren (Massachusetts) who support "Medicare for All," a proposal that would eliminate the private health care industry totally and replace it with a government-run system. On the other side are former Vice President Joe Biden and South Bend Mayor Pete Buttigieg, both of whom have said the best course of action is to improve upon the current law of the land -- the Affordable Care Act -- rather than undergo a(nother) wholesale change in the health care delivery system.

According to a new analysis of the 2018 midterm election results by Emory University Political Science professor Alan Abramowitz, Democrats who supported "Medicare for All" in the 60 closest House elections did significantly worse than those who did not.

In the districts Abramowitz examined -- places President Donald Trump won in 2016 by less than 10 points that were either open seats or a Republican incumbent -- just 42% of Democratic candidates who publicly supported Medicare for All won in 2018 while 72% of Democrats who did not support the legislation came out on top.

Obviously, it is not as simple as that. House races aren't solely decided by where a candidate stands on a single issue -- even one as high-profile and intensely felt as Medicare for All. But even when Abramowitz ran a regression model to control for other factors in these five dozen most competitive contests, he found similar results.

"After controlling for all of the other variables affecting the outcomes of these contests, Democratic candidates who endorsed Medicare for All ... the estimated coefficient of -4.6 indicates that support for Medicare for All cost Democratic candidates in these competitive districts almost five points of vote margin -- a substantial effect in a close election," concluded Abramowitz.

Which is verrrry interesting -- and consistent with polling on the subject. In a Kaiser Family Foundation poll last month, 55% of Democrats and Democratic-leaning independents said they would prefer to vote for a candidate who will build on the existing law while 40% said they wanted a candidate who supported replacing the ACA with Medicare for All. The bulk of polling on the issue affirms the Kaiser findings; Democrats, when given the choice, would rather make the current law better than rip it up and replace it with something new.

This data comes even as Warren has fully embraced Medicare for All -- to the point where, after months of public pressure, she released a detailed plan on how she proposes to pay for it. It also arrives as the surge Warren enjoyed over the summer has clearly come to an end -- both nationally and in early voting states like Iowa and New Hampshire.

Coincidence? Those don't happen all that much in politics at this level.

The Point: Warren (and Sanders) are all-in on a proposal that the majority of Democrats don't want, and which exerted a drag on Democratic candidates in the 2018 midterms. That should worry them (and their supporters).

-- Chris

QUOTE OF THE DAY

"I would say I've got lawyers and staff people handling this impeachment inquiry and they should just have at it. Meanwhile, I'm going to work for the American people."

-- Former President Bill Clinton, who himself went through impeachment proceedings, offering advice for President Trump on handling the inquiry. Trump has not appeared interested in heeding Clinton's advice. 

KENTUCKY GOVERNOR'S OFFICE GOES BLUE

Republican Gov. Matt Bevin has conceded to Democratic state Attorney General Andy Beshear in Kentucky's very close gubernatorial race.

The concession comes after Bevin requested all 120 counties in the state recheck the results from last week's gubernatorial election, which showed the Democrat ahead by 5,000 votes. That recanvass showed Beshear still leading over Bevin.

"I'm not going to contest these numbers that have come in," Bevin said Thursday.

Beshear's win is significant here -- Kentucky is home to Senate Majority Leader Mitch McConnell (who faces reelection in 2020) and Trump carried the state by 30 points in 2016.

CHRIS' GOOD READS

Susan Glasser on Republicans sticking to their impeachment script

Why Deval Patrick decided to run for president

What music preferences can tell you about voting preferences

Michael Bloomberg, call your office

What WebMD has done to (and for) us

In defense of Stephen A. Smith

MUSICAL INTERLUDE

Chris has been waiting for new music from Best Coast for a while now. This new track -- "For the First Time" -- shows it was worth the wait.

RANKINGS!

Klobuchar climbs into the top 5 in our 2020 rankings

Minnesota Sen. Amy Klobuchar takes a top spot in the 2020 Democratic field in this week's 2020 rankings from Harry Enten and Chris.

LAUREN'S CAMPAIGN TRAIL LATEST

Deval Patrick: Is officially running for president and filed to appear on the New Hampshire primary ballot. Patrick called his own presidential bid as "a Hail Mary from two stadiums over."

Julián Castro: Missed the qualification threshold for the November debate.  

Michael Bloomberg: Will skip the New Hampshire primary (if he does run for president) -- following his plan to focus on the Super Tuesday states.

ONE BIG DEBATE

10
 
The number of candidates on the November debate stage -- a slight contraction from October's 12-person debate. 
We'd love to share our other newsletters with you. Follow this link for daily coverage of the world's top stories, savvy market insights, an insider's look into the media, and more. Send your tips and thoughts via email to Chris Cillizza and Lauren Dezenski. Follow Chris and Lauren on Twitter.
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