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Photo: Jim Watson/AFP/Getty Images

As we near November's midterm elections, Democrats haven't distilled one of their biggest talking points — Medicare for All — down to one single policy.

The big picture: The fight for universal health care is not a new one. But the wave of Democrats campaigning on "Medicare for All" represents the most mainstream political support the idea has had in decades.

How it started

President Truman first proposed a national health care program in 1945, and it remained a mainstream debate for decades. President Nixon even had a universal health care proposal — the Comprehensive Health Insurance Plan, or CHIP. (No relation to today's CHIP program for low-income children.)

  • CHIP was a three-pronged plan that combined employer-based insurance, government assistance for low-income families, and Medicare for seniors. Participating in one of those programs would have been mandatory.
  • But after the 70s, the campaign for universal coverage faded.

Fast forward to 2016, when Sen. Bernie Sanders' campaign thrust explicit calls for a single-payer system issue back into the national debate. In 2017 he introduced the Medicare for All Act with Sens. Cory Booker, Richard Blumenthal, Tammy Baldwin, Kamala Harris, and more as cosponsors.

  • Sanders says on his website that Medicare for All is building "upon the success of the ACA to achieve the goal of universal health care."
Where we are now

Axios' Sam Baker reported that adopting Medicare for All has become something of "a litmus test for a lot of Democratic primaries in 2018."

Yes, but: Politico's Paul Demko reported in August that the idea hasn't been easy to sell to voters in the primaries.

  • A veteran Democratic pollster, John Anzalone, told Politico: "Voters are smart enough to know that Medicare for all isn't going to happen right now, or maybe ever."

On the other side: A source familiar with President Trump's thinking on the issue told Axios' Jonathan Swan that a counter-message to Medicare for All "is the best performing message of...in this November's election."

The bottom line: The Democrats' fight has been a long time coming, and success in universal health care would be a major party victory. But first, they'll need to get their plan straight.

Go deeper

12 mins ago - Health

First cases of COVID-19 Omicron variant discovered in United Kingdom

People wearing masks walk in London on Nov. 25. Photo: Li Ying/Xinhua via Getty Images

Two cases of the new COVID-19 Omicron variant were detected in the United Kingdom over night, the U.K. Health Security Agency announced Saturday.

Why it matters: The discovery comes as the world scrambles to respond to concerns over the new variant, discovered in South Africa earlier this week.

Updated 58 mins ago - Economy & Business

Americans are super-sizing their holiday travel

Illustration: Sarah Grillo/Axios

Americans are rushing back into holiday travel, and many are taking even longer trips now than they did before the pandemic began.

The big picture: After skipping Thanksgiving and Christmas gatherings last year, many people are eager to maximize this year's celebrations with friends and family. And flexible remote working arrangements make that easier than ever.

Updated 58 mins ago - Energy & Environment

Pity the "green" car buyer

Expand chart
Data: IHS Markit Data; Note: Chart: Thomas Oide/Axios

Americans are more open than ever to trading in their gas cars for electrified vehicles — but they're flummoxed by the confusing array of green options arriving in showrooms.

Why it matters: Getting up to speed on the differences among hybrids, plug-in hybrids and battery-electric vehicles will be a challenge for car buyers — and salespeople, too — as we transition away from gas-powered vehicles over the next decade.