Democrats' subtle fight about who pays for health care

• Addressing the fact that the most liberal Medicare for All plans would offer care without deductibles, Biden said, "The fact of the matter is that there will be a deductible — there will be a deductible in their paycheck."

The big picture: We currently pay for health care through taxes, premiums and our out-of-pocket spending. Medicare for All — whether it's full-blown single payer or a public option — shifts at least some of that spending on premiums and deductibles onto taxpayers.

• That shift would likely hit higher income brackets and corporations harder than lower ones, depending on how the plan is structured.

The bottom line: How receptive Americans are to a more expansive version of Medicare for All is almost certainly related to how they feel about their increasing out-of-pocket obligations.

Related: President Trump is prepping an executive order for next week that's focused on strengthening Medicare, WSJ reports. A White House official said that the order is intended to serve as a point of contrast with Democrats' Medicare for All push.

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