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Democrats seek new Obamacare ahead of midterms

Joseph Choi writes for The Hill about Democrats’ health care plans.

There is growing momentum within the Democratic Party to find its next ObamaCare heading into the midterms, as healthcare costs become more untenable and American anger over affordability persists. 

Healthcare has consistently ranked as a top issue for voters heading into this year’s midterm elections. June polling from Emerson College found that healthcare ranked in the top five issues for voters, behind the economy, threats to democracy and immigration. 

The expiration of the enhanced Affordable Care Act (ACA) tax credits dealt a heavy blow to Democrats in Congress, who carried out the longest government shutdown in history to get a vote on extending the subsidies. 

In the wake of the expired tax credits, premiums jumped by more than 20 percent and ACA enrollment dropped this year after previously experiencing four consecutive years of record growth.

While the House passed a three-year extension on the subsidies at the start of the year, efforts in the Senate have led nowhere, leaving a vacuum for parts of the Democratic coalition to submit their proposals for a successor.

In March, the Center for Health and Democracy (CHD) unveiled its proposal for a 2028 healthcare platform it’s seeking to rally Democrats behind, called “Medicare by Choice.”  

Put together by former Democratic aides and staffers at the Centers for Medicare and Medicaid Services, it would allow all Americans the option of enrolling in Medicare regardless of age, even allowing employers to select Medicare by Choice as their employees’ workplace benefit. 

The Searchlight Institute released its own proposal last month to make primary care free for all Americans and to create a nonprofit public option for coverage. Recalling how former President Obama called the ACA a “starter home” for more affordable healthcare, Searchlight wrote in its proposal that “now is the time to upgrade that starter home by making health care work better for all Americans.”

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