Illustration: Axios Visuals

Health care has become the framework that defines the broader ideological and stylistic divisions within the Democratic primary — a contest between political revolution and Medicare for All vs. bipartisan compromise and a public option.

Yes, but: It's kind of a false choice. Passing either of those health care plans would require a knock-down, drag-out party-line brawl just as intense as the fight over the Affordable Care Act.

Why it matters: No single issue has highlighted the differences among the Democratic candidates more efficiently — or more often — than health care, and Medicare for All, specifically.

  • It’s more than simple policy differences; in some cases, the policies aren’t even all that different. It has, instead, become a core extension of each candidate’s bigger political identity — whether they wanted it to or not.
  • Bernie Sanders and Joe Biden have already clashed over Medicare for All vs. a public option that Biden brands as "building on Obamacare," and that surely will continue after Biden's strong showing last night.

Ultimately, though, any Democratic president would run into many of the same brick walls trying to get any of these health care plans passed.

  • The health care industry, led by hospitals, has already poured millions of dollars into ads in key primary states opposing not only Medicare for All, but also a public option and even the narrowest proposals to let some people buy into Medicare.
  • Industry managed to kill a public option in the Affordable Care Act, when Democrats had 60 Senate seats. If they have a majority in 2021, it’ll likely be razor-thin.

My thought bubble: Democrats' health care plans have so far mattered a lot as a prism through which the candidates and their supporters have expressed big-picture principles and their theories of change.

  • But these are not the same battle lines that would guide any real effort to significantly expand government-run health insurance.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7 p.m. ET: 12,859,834 — Total deaths: 567,123 — Total recoveries — 7,062,085Map.
  2. U.S.: Total confirmed cases as of 7 p.m. ET: 3,297,501— Total deaths: 135,155 — Total recoveries: 1,006,326 — Total tested: 40,282,176Map.
  3. States: Florida smashes single-day record for new coronavirus cases with over 15,000 — NYC reports zero coronavirus deaths for first time since pandemic hit.
  4. Public health: Ex-FDA chief projects "apex" of South's coronavirus curve in 2-3 weeks — Coronavirus testing czar: Lockdowns in hotspots "should be on the table"
  5. Education: Betsy DeVos says schools that don't reopen shouldn't get federal funds — Pelosi accuses Trump of "messing with the health of our children."

Scoop: How the White House is trying to trap leakers

Illustration: Sarah Grillo/Axios

President Trump's chief of staff, Mark Meadows, has told several White House staffers he's fed specific nuggets of information to suspected leakers to see if they pass them on to reporters — a trap that would confirm his suspicions. "Meadows told me he was doing that," said one former White House official. "I don't know if it ever worked."

Why it matters: This hunt for leakers has put some White House staffers on edge, with multiple officials telling Axios that Meadows has been unusually vocal about his tactics. So far, he's caught only one person, for a minor leak.

11 GOP congressional nominees support QAnon conspiracy

Lauren Boebert posing in her restaurant in Rifle, Colorado, on April 24. Photo: Emily Kask/AFP

At least 11 Republican congressional nominees have publicly supported or defended the QAnon conspiracy theory movement or some of its tenets — and more aligned with the movement may still find a way onto ballots this year.

Why it matters: Their progress shows how a fringe online forum built on unsubstantiated claims and flagged as a threat by the FBI is seeking a foothold in the U.S. political mainstream.