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Photo: Bill Pugliano/Getty Images

Tonight's primary elections will include an important referendum on a growing trend: Progressive gubernatorial candidates vowing to implement some form of single-payer at the state level.

What to watch: Michigan's Democratic primary, which will be held tonight, includes Abdul el-Sayed — a progressive candidate (and former Detroit health commissioner) who has said he'll bring "Medicare for All" to Michigan.

No state has ever made single-payer work. But that's not stopping a handful of Democratic candidates from promising to try. The Washington Post's Dave Weigel runs through some of them:

  • Maryland's Ben Jealous and Massachusetts' Jay Gonzalez are both campaigning on "Medicare for All" as they try to defeat extremely popular moderate Republican governors in their respective blue states.
  • Cynthia Nixon, challenging New York Gov. Andrew Cuomo from the left, has endorsed an expansive health care overhaul there.
  • California Lieutenant Gov. Gavin Newsom, who has already won his primary, is also promoting the idea for California.

The problem is money. States would largely have to pay for their versions of single-payer on top of existing federal programs, not instead of them.

  • Medicare and the taxes that fund it, for example, are both federal programs that states — unlike the federal government — don't have the power to fold into some other system.

Why it matters: As unlikely as state-level single-payer might be, gubernatorial candidates' embrace of the idea is still a clear sign of where Democrats are headed.

Go deeper: Axios followed el-Sayed last week as he campaigned with newly minted progressive icon Alexandria Ocasio-Cortez.

Go deeper

21 mins ago - World

Brazil senators vote to recommend criminal charges for Bolsonaro

Brazilian senators vote on probe into President Bolsonaro's handling of pandemic. Photo: Gustavo Minas/Bloomberg via Getty Images

A Brazilian Senate committee Tuesday voted to approve a report recommending President Jair Bolsonaro be charged with a raft of criminal indictments including crimes against humanity over his response to the COVID-19 pandemic, per AP.

Why it matters: Bolsonaro has become the face of a right-wing approach to the pandemic that includes repudiating vaccines and masks and resisting lockdowns and other mitigation measures. The Senate report holds him personally responsible for half of the country's 600,000 deaths.

Former Georgetown tennis coach pleads guilty to accepting admissions bribes

Gordon Ernst (left) former head tennis coach at Georgetown, outside a courthouse in Boston in 2019. Photo: Jessica Rinaldi/The Boston Globe via Getty Images

A former Georgetown University head tennis coach has pleaded guilty Tuesday to bribery charges related to facilitating the admission of prospective applicants.

Why it matters: Gordon Ernst solicited and accepted bribes from William Singer, ringleader of the cheating scheme uncovered by Operation Varsity Blues, and families in exchange for helping prospective applicants get into Georgetown as student athletes, according to the Justice Department.

4 hours ago - Health

CDC says some immunocompromised people can get fourth COVID shot

Photo: Noriko Hayashi/Bloomberg via Getty Images

The Centers for Disease Control and Prevention said in updated guidelines Tuesday that some immunocompromised people who have received either Pfizer or Moderna's COVID-19 vaccines will be able to get a fourth shot.

Details: People over 18 who are "moderately to severely immunocompromised" and have received three doses of an mRNA vaccine may get a fourth shot (of either the Pfizer, Moderna, or Johnson & Johnson vaccines) at least six months after getting their third Pfizer or Moderna dose, per the CDC.