As the 2020 Presidential race starts to heat up, one of if not the biggest issue which will be on the minds of every Democratic candidate and primary voter will be about the Next Big Thing in U.S. Healthcare policy.

By the time January 20, 2021 rolls around, the Affordable Care Act will be just shy of 11 years old...assuming, that is, that it manages to survive the insanely idiotic #TexasFoldEm lawsuit (as an aside, it looks like the 5th Circuit of Appeals will likely take up the case this July).

The ACA has done a fantastic job of expanding healthcare coverage to over 20 million more people, lowering or eliminating costs for millions of them, and completely changing the zeitgeist about what's acceptable (no longer acceptable: denying coverage to or discrimininating against those with pre-existing conditions). Unfortunately, while it was a major step forward, it was still only a step, and between its intrinsic limitations, original flaws and major incidents of sabotage both passive (refusal to expand Medicaid in many states) and active (the Risk Corridor Massacre, CSR cut-off, mandate repeal, etc), the Democratic base is hungry for a truly universal healthcare coverage system.

And so, the $64,000 question for every 2020 Democratic candidate is whether or not they support "Medicare for All"...and, as a subsection of that, do they insist on "Medicare for All" as the only way forward.