I voted for Bernie twice in part because I wanted to move the Overton Window on health care. Biden could easily have run on a safe platform of defending the ACA and protecting people with preexisting conditions. This status quo defense worked for most 2018 swing district Democrats. Instead, Biden is going further. According to Paul Krugman, Biden is meeting somewhere in the middle between ACA and Sanders. I think this is a good thing. Auto enrolling low income workers ensures my older sister always has insurance, no matter her job status. Expanding the premium subsidy helps me friend who is an independent contractor in Chicago. Doing both of these things should lower my own costs through my employer health plan negotiated by my union.
So the lower middle class, middle class, and upper middle class will all be covered in addition to the seniors already covered by Medicare and the low income families covered by Medicaid. Sounds like universal health care to me. Unlike the Sanders plan, this plan will have the votes in the House and Senate to pass in the first 100 days. I say vote for this man, help him pass this plan, and then push him to do better down the road. As more and more Americans have access to health care, as more opt into the public option, and as more people qualify for subsidies, we will see the popularity of the ACA surge through the roof and the conversion to true single payer will be a much easier political sell.