
(From left) Tom Miller, Kimberly Leonard, Anna Edney, Joanne Kenen and Julie Rovner(Lynne Shallcross/KHN)
- The early jockeying among Democrats running for president is likely to overshadow any efforts to make changes to the Affordable Care Act or help stabilize its insurance marketplaces.
- Legislative remedies for the ACA marketplaces are expected to hit the same roadblock that senators found in 2017: demands by conservatives that plans operating in those insurance exchanges be banned from offering abortion coverage.
- Although the general idea of expanding Medicare garners high public support, if Democrats agree on a plan to push forward, it could be expected to meet strong opposition from the health care industry.
- Republicans and Democrats have expressed interest in moving legislation to help lower drug prices. One area where they could find common ground might be revisions to the patent laws to help spur more lower-cost generic drugs.
- Both parties also say they are concerned about surprise bills that patients receive after receiving medical care. Still, there is no consensus on how to approach the problem, and industry stakeholders are split on what remedies the country should take.