The issue begins to affect governors' campaigns
| Washington Post
FLINT, Mich. - Wherever he takes his governorship campaign, Abdul El-Sayed is followed by activists who distribute information about "Medicare for all." When he takes the microphone, El-Sayed makes a promise: he brings general health care to Michigan.
"Why can CEOs of large insurance companies take home $ 13 million annually if 600,000 people still have no access to healthcare?" El-Sayed, a doctor, has been campaigning in one of the poorest states in the state last week. "When will we have a leadership campaigning for nationwide Medicare?"
El-Sayed, who campaigned this weekend with Sen. Bernie Sanders, I-Vt., Before the primaries on Tuesday, is one of at least a dozen Democrats running for Governor this year to do what no state has yet has done health insurance for everyone, regardless of the cost.
The single-payer Democrats are in red and blue states and in California, where Lt. Govin Newsom's favorite in November is, according to Massachusetts, where Democrat Jay Gonzalez believes the theme will give him an opening a beloved Republican governor.
"We are in a moment when the Democrats have to stand for something," said Gonzalez in an interview. "If we do it right, the total amount that we spend on health care in Massachusetts should go down and we'll come from here to there in a very thoughtful way."
The debate among the Democrats is a continuation of the health care shocks that have shaped politics for nearly a decade.
The adoption of the Affordable Care Act in 2010 resulted in a backlash that boosted the Republicans in this year's midterm elections. The Trump government's attempts to repeal the law - including a lawsuit that would override the protection of the population for Americans with pre-existing conditions - put health care at the top of the Democrats' 2018 agenda.
But while Democrats running for the House of Representatives and the Senate speak Medicare for all aspirations, as a national goal for Trump, liberal candidates for governor suggest that their states could quickly become laboratories for universal reporting.
"It will be billed in dozens of states," said Sam Munger, a spokesman for the liberal State Innovation Exchange, adding that there has been an increase in single-payer legislation since the beginning of 2017. "Ninety percent of those bills will go nowhere, but people are pushing the spectrum of debate, but expanding health care, they want it, is one of the most important tests we see in surveys."
Republicans defending 26 governors 'homes this fall say they would benefit from the Democrats' new mood. Republicans who have candidates for a governor with a single taxpayer have tried to define them as reckless, destructive spending addicts.
Last month, the Republican Board of Governors began running television commercials against Ben Jealous, the Democratic candidate for the Governor of Maryland. "Joomla's Tax-and-Expense," according to the ads, would raise a "$ 2,800 fee for every man, woman, and child." Every attack was heavily tested in Republican polls.
The Chairman of the Democratic Governors Association, Washington Gov. Jay Inslee said that the Republicans have lost in the health sector and that the attacks on the single-payer led to diversions.
"Voters are much more interested in how Republicans want to take away their health care (tomorrow) - which is a legitimate fact - that something could happen that could happen in a few years," he said.
Inslee suggested that the Democrats were the most persuasive as they progressively exchanged views on Medicare buy-ins, extended Medicaid, and other opportunities to build on the Affordable Care Act, rather than switching to a new system.
But many Democrats are pushing for more. In Colorado, where voters defeated a single-payer referendum in 2016, MP Jared Polis, D-Colo., Said states could unite to ensure universal health care.
"It's not just the right thing to do but the most cost-effective way to reform health care in the long run," Polis wrote in February. "I will work with other Western countries to address our common health challenges."
While Polis and Newsom have already received nominations for their party, many of the candidates running on single-payer are insurgents who challenge the party establishment and warn that it was too timid as Republican governors used their power to enforce larger conservative changes.
Cynthia Nixon, the actor who challenges Governor Andrew Cuomo, D-N.Y., in a September primer, has approved the New York Health Act, which is stuck in the state's legislature.
Last week, the New York State Health Foundation estimated that the state would have to increase tax revenues by 156 percent to fund the plan - but in the long run, it would save $ 2 billion.
Other candidates have thrown the single-payer into the balance but skipped the details.
In Connecticut, Ned Lamont said he would work "for a single-payer system," but nationally. In Rhode Island, Macedonian challenger Matt Brown has promised to "create an expert commission for health care and economic advisers," which would work out details over time.
The Trump administration has tried to prevent any discussion of state single-payer programs.
In a July 25 speech in California, federal Medicaid and Medicare administrator Seema Verma said the government, which has waived state waivers to seek conservative changes such as Medicaid labor requirements, would deny waivers if states become single-payer Plans to adopt.
"You run the risk of depriving senior citizens of the coverage they've been working their entire lives," Verma said. "It makes no sense to waste time on something that will not work."
In fact, even in one of the largest democratic states, many were skeptical of the introduction of universal health care. The efforts to create a nationwide system in California have stalled in the Democratic-controlled legislature over the past two years, with concerns


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