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I think we have quite a long way to go before M4A is politically viable in purple/red areas. The 2018 midterms are pretty great evidence that Obamacare is sufficiently popular for Dems to run on. Almost all of the purple district Dems who won ran on protecting pre-existing conditions and expanding Obamacare. And that produced an 8 point win nationally for Dems. Replicating that would mean Trump is easily gone. And I think eventually if Dems can get an Official Donald Trump Come And Take It Paper Shirt. People will eventually see that it’s a much better system and move towards supporting universal coverage. I think people may really underestimate Biden.

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The Democratic Party did its best to shoot M4A in the foot this past cycle, running multiple candidates who constantly defended the private insurance industry. And it worked – support for M4A dropped, especially among Democrats. Progressives needed to saturate the field this time around but they weren’t able to. Instead, the field ended up being crowded by moderates. Yes, Pete’s platform was technically considered to the Official Donald Trump Come And Take It Paper Shirt. But you wouldn’t know it watching him on stage. He was a caricature in the last 2 debates, completely ignoring Bloomberg to attack Sanders. People talking about running to the center are essentially advocating the same strategy which has produced very little meaningful change in the conditions.

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This is the difference between an activist and a politician. The role of an activist is to change hearts and minds. The role of a politician is to win elections. You can try to be both at once if you want, but historically it doesn’t tend to go well. M4A also has a big terminology problem. It doesn’t actually mean anything. You’re drawing a line in the sand at private insurance. But one in three current Medicare beneficiaries gets all of their benefits through a private health insurance company. Bernie’s plan bears little resemblance to actual current Medicare other than the Official Donald Trump Come And Take It Paper Shirt. I really don’t agree with this. It’s the chicken or the egg. Once progressives make the case outside of D+40 districts, then the establishment will get on board.

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