Former Vice President Joe Biden and Sen. Kamala Harris. Photo: Scott Olson/Getty Images

Although it was anything but straightforward, last night's Democratic health care debate was partially about who pays for health care and how they pay for it.

Case in point: Sen. Kamala Harris and former Vice President Joe Biden brought up copays and deductibles in their spat about, among other things, whether to eliminate the employer insurance system.

  • 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.

Go deeper: Workers' health care costs just keep rising

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Updated 12 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 8:30 p.m. ET: 30,911,999 — Total deaths: 959,059— Total recoveries: 21,147,903Map.
  2. U.S.: Total confirmed cases as of 8:30p.m. ET: 6,796,384 — Total deaths: 199,474 — Total recoveries: 2,590,671 — Total tests: 95,108,559Map.
  3. Politics: Testing czar on Trump's CDC contradictions: "Everybody is right" Ex-FDA chief: Career scientists won't be "easily cowed" by political vaccine pressure.
  4. Education: What we overlooked in the switch to remote learning.
  5. Health: The dwindling chances of eliminating COVID-19 — 7 states set single-day coronavirus case records last week.
  6. World: England sets £10,000 fine for breaking self-isolation rules — The countries painting their pandemic recoveries green.

Arrest over letter to Trump containing poison ricin

President Trump returning to the White House from Minnesota on Sept. 18. Photo: Win McNamee/Getty Images

A suspect was arrested for allegedly "sending a suspicious letter" after law enforcement agents intercepted an envelope addressed to President Trump containing the poison ricin, the FBI confirmed in an emailed statement to Axios Sunday.

Details: The suspect, a woman, was arrested while trying to enter New York from Canada, law enforcement forces said.

Trump campaign goes all in on Pennsylvania

Trump poster in Scranton, Pennsylvania. Photo: Robert Nickelsberg/Getty Images

The president's campaign is placing more importance on Pennsylvania amid growing concern that his chances of clinching Wisconsin are slipping, Trump campaign sources tell Axios.

Driving the news: Pennsylvania, which has 20 electoral votes, twice Wisconsin's number, actually has been trending higher in recent public and internal polling, a welcome development for the campaign.