Illustration: Sarah Grillo/Axios

Something big is happening beneath the noise of tweets and Trump rage: The contours of the 2020 Democratic message and approach are taking form.

The big picture: You see it in the unprecedented rise of women running (for governor, Senate and House) and winning, and reports of female turnout spiking. (At least 59 women, most of them Democrats, won in Tuesday's primaries, per NBC News.)

  • You see it in candidate after candidate embracing Bernie Sanders' Medicare for All, creating a new litmus test for 2020 hopefuls.
  • You see it in reports on the health of Medicare and deficits, creating the near-certainty that candidates will have to face an entitlement program running out of cash just as the Trump deficits are hitting $1 trillion.
  • You see it in rising health care premiums and in polls showing voters care more about this topic than impeachment or trade wars. An NBC/Wall Street Journal poll out this morning finds health care coming as the most important issue (22%), just ahead of the economy and jobs (19%).

Be smart: This is a lot like Hillary’s message in 2016 — with an even bigger government solution health care twist. That didn’t work so well for her. 

Go deeper: Axios' Sam Baker examines one of these fronts, "The next health care war is already starting"

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Photo: courtesy of Twitter

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Photo: Ben Hasty/MediaNews Group/Reading Eagle via Getty Images

Vice President Mike Pence no longer plans to attend the Senate's final confirmation vote for Judge Amy Coney Barrett, a Pence aide confirmed to CNN and Politico on Monday. On Sunday, Senate Democrats claimed that his presence after possible exposure to the coronavirus would be a "violation of common decency."

Driving the news: Five of Pence's aides were recently diagnosed with COVID-19, including his chief of staff, who is currently quarantining. Pence has continued his campaign travel despite his possible exposure, which goes against CDC guidelines.