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Expand chart
Data: Advertising Analytics; Chart: Axios Visuals

More than half of all issue advertising this year has been on health care, and that spending will only increase as the 2020 campaign gets closer.

Between the lines: Most of the top health care spenders are focused on issues like surprise medical bills and drug prices — many of which would cut into the health care industry's profits.

Where it stands: The biggest spender by far is a dark-money group called Doctor Patient Unity.

  • It has shelled out more than $26 million on ads opposing Congress' plan to address surprise medical bills. Doctors and hospitals staunchly oppose the leading proposal because it would cost them money.
  • AARP and the Partnership for Safe Medicines, an industry group, are on opposite sides of the intense battle over drug prices, which will heat up further this fall.

Health care was a winning issue for Democrats in 2018, but they're not spending much on health care messaging right now.

  • One of the top 5 health spenders is One Nation, which is running anti-Medicare for All ads.
  • There aren't any pro-Medicare for All groups in the top 5, nor are there any groups running ads explicitly on the benefits of the ACA.

Yes, but: Democrats will almost certainly spend more time and money on health care deeper into the 2020 cycle.

  • Health care was still a huge issue in yesterday's special election for North Carolina's 9th district — likely a sign of things to come.
  • "Fast forward to fall of 2020, and you will once again see…campaigns litigated on pre-existing conditions, health care costs and drug costs, because Republicans have only made the problem worse for themselves since 2018," Democratic strategist Jesse Ferguson said.

Go deeper: The Democratic hunt for a 2020 down-ballot message

Go deeper

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Stalemate over filibuster freezes Congress

Illustration: Sarah Grillo/Axios

Senate Majority Leader Chuck Schumer and Mitch McConnell's inability to quickly strike a deal on a power-sharing agreement in the new 50-50 Congress is slowing down everything from the confirmation of President Biden's nominees to Donald Trump's impeachment trial.

Why it matters: Whatever final stance Schumer takes on the stalemate, which largely comes down to Democrats wanting to use the legislative filibuster as leverage over Republicans, will be a signal of the level of hardball we should expect Democrats to play with Republicans in the new Senate.

Dave Lawler, author of World
1 hour ago - World

Biden opts for five-year extension of New START nuclear treaty with Russia

Putin at a military parade. Photo: Valya Egorshin/NurPhoto via Getty

President Biden will seek a five-year extension of the New START nuclear arms control pact with Russia before it expires on Feb. 5, senior officials told the Washington Post.

Why it matters: The 2010 treaty is the last remaining constraint on the arsenals of the world's two nuclear superpowers, limiting the number of deployed nuclear warheads and the bombers, missiles and submarines which can deliver them.

Updated 2 hours ago - Technology

Facebook refers Trump ban to independent Oversight Board for review

Photo: Alex Edelman/AFP via Getty Images

Facebook's independent Oversight Board has accepted a referral from the platform to review its decision to indefinitely suspend former President Trump.

Why it matters: While Trump critics largely praised the company's decision to remove the then-president's account for potential incitement of violence, many world leaders and free speech advocates pushed back on the decision, arguing it sets a dangerous precedent for free speech moving forward.