“Make no mistake: Health care will be on the ballot this November. But not in the way ardent progressives imagine.
Democrats running for president have spent a lot of time debating so-called Medicare for all, with some supporters of Bernie Sanders claiming that any politician who doesn’t demand immediate implementation of single-payer health care is a corporate tool, or something. But the reality is that whatever its merits, universal, government-provided health insurance isn’t going to happen anytime soon.
I say this because even if Democrats take the Senate in addition to the White House, the votes for eliminating private health insurance won’t be there; nor will the kind of overwhelming public support that might change that calculus. In practice, any of the Democratic candidates — even Sanders — will, if victorious, end up building on and improving Obamacare.
On the other hand, if Donald Trump wins, he will probably find a way to kill Obamacare, and tens of millions of Americans will lose health coverage.”