Upshot: A single-payer experiment

Also: The Covid death toll in review [View in browser](~/AAAAAQA~/RgRmRMkdP4QlAWh0dHBzOi8vbWVzc2FnaW5nLWN1c3RvbS1uZXdzbGV0dGVycy5ueXRpbWVzLmNvbS90ZW1wbGF0ZS9vYWt2Mj9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnByb2R1Y3RDb2RlPVVQJnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1cmk9bnl0JTNBJTJGJTJGbmV3c2xldHRlciUyRjJkNzFjY2I3LTZhMzAtNTgyZS04NjhhLWU1MmYyZWNlNGI4OSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~)|[nytimes.com](~/AAAAAQA~/RgRmRMkdP0StaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA)[Continue reading the main story](#a11y-skip-ad-marquee) [Marquee Ad](~/AAAAAQA~/RgRmRMkdP0SVaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MTYyMDE0JmxpPVVQJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1VUF8yMDIzMDUxNSZ0ZT0xJm5sPXRoZS11cHNob3QmZW1jPWVkaXRfdXBfMjAyMzA1MTVXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [NYTimes.com/Upshot](~/AAAAAQA~/RgRmRMkdP0SyaHR0cDovL3d3dy5ueXRpbWVzLmNvbS91cHNob3Q_Y2FtcGFpZ25faWQ9MjkmZW1jPWVkaXRfdXBfMjAyMzA1MTUmaW5zdGFuY2VfaWQ9OTI2MDMmbmw9dGhlLXVwc2hvdCZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTMyOTkzJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0QgpkUR1EYmRJGtKWUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) May 15, 2023 Some Americans will now need to pay co-payments or deductibles for Covid tests.Erik S Lesser/EPA, via Shutterstock A U.S. Experiment on Single-Payer Care Just Ended [Author Headshot](~/AAAAAQA~/RgRmRMkdP0TCaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vYnkvbWFyZ290LXNhbmdlci1rYXR6P2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) By [Margot Sanger-Katz](~/AAAAAQA~/RgRmRMkdP0TCaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vYnkvbWFyZ290LXNhbmdlci1rYXR6P2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) Health Policy Reporter For the last three years, the United States has been operating an experiment in single-payer health care — for one disease. That era largely came to [an end last week](~/AAAAAQA~/RgRmRMkdP0TmaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNS8xMC91cy9wb2xpdGljcy9jb3ZpZC1wdWJsaWMtaGVhbHRoLWVtZXJnZW5jeS5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) as the public health emergency for Covid-19 expired. For Covid, the government bought vaccines and drugs in bulk and handed them out to everyone who needed them, as part of [a set of emergency provisions](~/AAAAAQA~/RgRmRMkdP0TsaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vaW50ZXJhY3RpdmUvMjAyMy8wNC8wNi91cHNob3QvcGFuZGVtaWMtc2FmZXR5LW5ldC1tZWRpY2FpZC5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) authorized by Congress for as long as the White House said they were needed. It required insurers to pay for all Covid tests and paid testing facilities when uninsured people used them. It guaranteed the hospital bills of anyone who needed hospitalization for Covid. Now that the government’s official emergency is over, those programs are phasing out. Some people will still be able to get free Covid tests, if their insurance wants to cover them that way. Other people will need to pay co-payments or deductibles for those tests. If you have insurance, you can still get free Covid vaccines. But if you’re uninsured, you may have to pay out of pocket starting next year. And what you’ll pay for antiviral drugs like Paxlovid will depend on what kind of insurance you have. [[Article Image] The New York Times](~/AAAAAQA~/RgRmRMkdP0TbaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vaW50ZXJhY3RpdmUvMjAyMy8wNS8xMS91cy9jb3ZpZC1kZWF0aHMtdXMuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [As Emergency Ends, a Look at Covid’s U.S. Death Toll The country has recorded more than 1.1 million deaths from the virus. By Lazaro Gamio, Eleanor Lutz and Albert Sun](~/AAAAAQA~/RgRmRMkdP0TbaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vaW50ZXJhY3RpdmUvMjAyMy8wNS8xMS91cy9jb3ZpZC1kZWF0aHMtdXMuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Continue reading the main story](#a11y-skip-universal-0) ADVERTISEMENT [Ad](~/AAAAAQA~/RgRmRMkdP0SVaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MTYyMDExJmxpPVVQJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1VUF8yMDIzMDUxNSZ0ZT0xJm5sPXRoZS11cHNob3QmZW1jPWVkaXRfdXBfMjAyMzA1MTVXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) As for Covid hospitalizations, they will now be just like any other hospitalization, possibly subject to huge deductibles or coinsurance — just like the hospitalizations for people in recent years who had non-Covid pneumonias, even though their illnesses were often just as serious and required many of the same treatments. The transition is likely to be confusing and bumpy. The details of how your Covid treatment will be covered will depend a lot on what insurance plan you have. And the exact switch from free to not-free for some treatments will be unpredictable, tied to when government supplies of things run out. But of course, the [U.S. health care system for every other disease](~/AAAAAQA~/RgRmRMkdP0TdaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAxOS8wOS8xOS91cHNob3QvaGVhbHRoLWNhcmUtaG9tZS1tZXRhcGhvci5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) tends to be confusing and bumpy. Patients with other ailments — like cancer, arthritis, hepatitis C or diabetes — have been contending with these vagaries all along. Those diseases are also major public health problems. Democrats in Congress are pushing for a policy that would [limit how much people have to pay](~/AAAAAQA~/RgRmRMkdP0TmaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wMy8zMS9oZWFsdGgvaW5zdWxpbi1wcmljZS1ob3VzZS1iaWxsLWRlbW9jcmF0cy5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) for insulin, which many diabetes patients ration for cost reasons. But that approach, too, would be limited to one class of drugs, for one disease. [Continue reading the main story](#a11y-skip-universal-1) ADVERTISEMENT [Ad](~/AAAAAQA~/RgRmRMkdP0SVaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MTE5NDU0JmxpPVVQJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1VUF8yMDIzMDUxNSZ0ZT0xJm5sPXRoZS11cHNob3QmZW1jPWVkaXRfdXBfMjAyMzA1MTVXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) Proponents of the current system say it deploys market forces to keep costs low, encourage innovation and limit unnecessary treatments. Letting people get unlimited free tests, for example, might have induced some testing facilities to [charge outrageous prices](~/AAAAAQA~/RgRmRMkdP0TeaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMS8wMy8zMC91cHNob3QvY292aWQtdGVzdC1mZWVzLWxlbm94LWhpbGwuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~), as my colleague Sarah Kliff has reported. Bulk government purchasing of two mRNA vaccines may have hampered the study and reach of [other types](~/AAAAAQA~/RgRmRMkdP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wNy8xMy9oZWFsdGgvbm92YXZheC1jb3ZpZC12YWNjaW5lLWZkYS1hdXRob3JpemF0aW9uLmh0bWw_Y2FtcGFpZ25faWQ9MjkmZW1jPWVkaXRfdXBfMjAyMzA1MTUmaW5zdGFuY2VfaWQ9OTI2MDMmbmw9dGhlLXVwc2hvdCZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTMyOTkzJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0QgpkUR1EYmRJGtKWUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) of vaccines that might be better in some cases. But detractors have long said that the U.S. system’s patchwork nature and unpredictable consumer costs are harmful, by causing the sick to avoid necessary care or endure [financial distress](~/AAAAAQA~/RgRmRMkdP0TjaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMS8wNy8yMC91cHNob3QvbWVkaWNhbC1kZWJ0LWFtZXJpY2Fucy1tZWRpY2FpZC5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) when there is a crisis. For enthusiasts of a [“Medicare for all” system](~/AAAAAQA~/RgRmRMkdP0TqaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMC8wMi8yNS91cHNob3QvbWVkaWNhcmUtZm9yLWFsbC1iYXNpY3MtYmVybmllLXNhbmRlcnMuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~), in which the government insures everyone and guarantees most care for free — typically backed by taxes — Covid has been a kind of test case. What you think about this change may help reveal how you feel about our broader system. Subscribe Today We hope you’ve enjoyed this newsletter, which is made possible through subscriber support. [Subscribe to The New York Times with this special offer.](~/AAAAAQA~/RgRmRMkdP0TJaHR0cDovL3d3dy5ueXRpbWVzLmNvbS9zdWJzY3JpcHRpb24_Y2FtcGFpZ25JZD05OVE5OSZjYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Continue reading the main story](#a11y-skip-universal-2) ADVERTISEMENT [Ad](~/AAAAAQA~/RgRmRMkdP0SVaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9NzI3ODk1JmxpPVVQJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1VUF8yMDIzMDUxNSZ0ZT0xJm5sPXRoZS11cHNob3QmZW1jPWVkaXRfdXBfMjAyMzA1MTVXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) More From Upshot [Article Image](~/AAAAAQA~/RgRmRMkdP0TvaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vaW50ZXJhY3RpdmUvMjAyMy8wNS8xNS91cHNob3QvbWlncmF0aW9ucy1jb2xsZWdlLXN1cGVyLWNpdGllcy5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Coastal Cities Priced Out Low-Wage Workers. Now College Graduates Are Leaving, Too. Educated workers are increasingly migrating away from the country’s most expensive major metros — and have been since before the pandemic. By Emily Badger, Robert Gebeloff and Josh Katz](~/AAAAAQA~/RgRmRMkdP0TvaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vaW50ZXJhY3RpdmUvMjAyMy8wNS8xNS91cHNob3QvbWlncmF0aW9ucy1jb2xsZWdlLXN1cGVyLWNpdGllcy5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [[Article Image] Anastasiia Sapon for The New York Times](~/AAAAAQA~/RgRmRMkdP0TqaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNS8xMi91cHNob3QvcmVwdWJsaWNhbi1iaWxsLWdvdmVybm1lbnQtcmVndWxhdGlvbnMuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Little-Noticed Part of G.O.P. Bill Could ‘Make It Impossible to Regulate’ House Republicans want every major rule to come up for a vote. That could be a recipe for no regulations at all. By Margot Sanger-Katz](~/AAAAAQA~/RgRmRMkdP0TqaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNS8xMi91cHNob3QvcmVwdWJsaWNhbi1iaWxsLWdvdmVybm1lbnQtcmVndWxhdGlvbnMuaHRtbD9jYW1wYWlnbl9pZD0yOSZlbWM9ZWRpdF91cF8yMDIzMDUxNSZpbnN0YW5jZV9pZD05MjYwMyZubD10aGUtdXBzaG90JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMzI5OTMmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmRRHURiZEka0pZSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [[Article Image] Joshua Bright for The New York Times](~/AAAAAQA~/RgRmRMkdP0TaaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNS8xMi91cHNob3QvcG9sbGluZy1lbGVjdGlvbnMtMjAyNC5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Two Schools of Polling Are Converging: Reflecting on a Tumultuous Decade Should polling change or stay the same? It doesn’t seem a hard call. By Nate Cohn](~/AAAAAQA~/RgRmRMkdP0TaaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNS8xMi91cHNob3QvcG9sbGluZy1lbGVjdGlvbnMtMjAyNC5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [[Article Image] Med Kinnard/Associated Press](~/AAAAAQA~/RgRmRMkdP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAxOS8wMi8xOS91cHNob3QvbWVkaWNhcmUtZm9yLWFsbC1oZWFsdGgtdGVybXMtc2FuZGVycy5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [The Difference Between a ‘Public Option’ and ‘Medicare for All’? Let’s Define Our Terms A glossary for the emerging Democratic health care debate. By Margot Sanger-Katz](~/AAAAAQA~/RgRmRMkdP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAxOS8wMi8xOS91cHNob3QvbWVkaWNhcmUtZm9yLWFsbC1oZWFsdGgtdGVybXMtc2FuZGVycy5odG1sP2NhbXBhaWduX2lkPTI5JmVtYz1lZGl0X3VwXzIwMjMwNTE1Jmluc3RhbmNlX2lkPTkyNjAzJm5sPXRoZS11cHNob3QmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEzMjk5MyZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKZFEdRGJkSRrSllIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) Feedback For suggestions on how we can improve this newsletter, write to [theupshotnewsletter@nytimes.com](mailto:theupshotnewsletter@nytimes.com?subject=Upshot%20Newsletter%20Feedback). If you have a compelling data set you’d like us to pursue, send it to [dear.upshot@nytimes.com](mailto:dear.upshot@nytimes.com?subject=Upshot%20Newsletter%20Feedback). Like this email? 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