The 2018 Midterm Guide for Passing Medicare for All and the NY Health Act

We need national single-payer healthcare. Before the midterm elections tomorrow, let’s go over how the fight is going for Medicare for All, as well as for the New York Health Act.

Medicare for All Guide

In 2017, close to half (271 of 561) of non-incumbent Democratic candidates in congressional primaries supported Medicare for All. The 290 candidates who didn’t support it advocated for half-measures, like:

  • universal access to “affordable” coverage
  • a public option to buy into Medicare
  • strengthening Obamacare
  • allowing Medicare to negotiate drug prices
  • fostering innovation in the healthcare marketplace

To update the data from last year, we collaborated with Moritz Wichmann, a German data journalist who published a report titled “The Democrats Before the Midterms: A Movement to the Left?” for Rosa Luxemburg Stiftung. Moritz even put together an interactive map that shows every candidate in the United States’ position on Medicare for All.

Here are some of the insights:

There are 123 current co-sponsors of Medicare for All

In this midterm election 431 Democrats are running for Congress;
219 of them support Medicare for All


  • 119 incumbents in Democrat-leaning or even districts
  • 17 challengers or open seat candidates in Democrat-leaning districts
  • 6 candidates for open seats in Republican-leaning districts
  • 27 challenger candidatesin Republican-leaning districts
  • 50 long-shot candidates in heavily red districts

Our Hopeful Prediction:

We will hopefully get over 140 co-sponsors of Medicare for All after this election!

New York Health Act Guide

New York State and California are both flirting with their own statewide single-payer healthcare systems.

In either cases, after passing such a proposal through the statehouses and governor’s offices, the White House would have to sign a waiver allowing federal Medicare funds to be re-allocated, which… is possible, but unlikely.

Before we get in the scenario of predicting whether or not Donald Trump would allow a state to enact single-payer, we still have to pass the damn thing.  Since we live in upstate New York, we’re going to focus on the New York Health Act, a single-payer proposal which has passed the state assembly four years in a row. To learn more about it, check out the Campaign for New York Health’s website.

After passing the state assembly, the bill has languished in the state senate, where there’s been a deadlock: in the 2018 session, there there were 31 votes for the NY Health Act, and 32 against. Even after accounting for the IDC members who were taken down in this year’s primaries, at least one more vote (and several more for good measure) are needed to get the bill passed.

There are challenges being mounted to 24 of the 32 incumbent, non-supporting Republican seats.

Do the 24 challengers support the NY Health Act?

19 of them support the NY Health Act
5 do not

How likely are the 19 challengers to win?

8 are Likely (Enrollment advantage of over 10,000)
3 are Somewhat Likely (Enrollment advantage under 10,000)
3 are Somewhat Unlikely (Enrollment disadvantage under 10,000)
5 are Unlikely (Enrollment disadvantage over 10,000)

How safe are the 31 existing supporters?

15 are not facing a Republican challenger
16 are facing a challenger

The 16 who are facing challengers all have enrollment advantages of at least 10,000

Our Hopeful Prediction:

We hopefully will have at least 40 NY Health Act co-sponsors after this election!

About Space Commune: We are a couple of people who believe in fully automated gay space communism and are making content about leftist politics, gender, and culture. Support us on Patreon.

2 Replies to “The 2018 Midterm Guide for Passing Medicare for All and the NY Health Act”

  1. Thanks so much for your writing and research on this issue. People’s lives are at stake here. This issue is the most important (besides saving the planet) in this election. Blue states have to take the lead in this country. There are too many red state politicians and pastors using their bully pulpits to draw people into their misinformation campaigns. Your hard work and truth will win, maybe it will take time but I’m with you, and many other people are too.

  2. Delightful graphics. Might you consider updating, once all the ballot counting is complete?

    One small nit on NYHA … while waivers might make things easier, NYHA sponsors have designed work-arounds so they aren’t essential.

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