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You're right, the voting dynamic has changed, but people still respond to a personal issue, IF the party is willing to properly spread the message. Health Care is a perfect issue to center a campaign on, especially if EVERY candidate is on that page, and drives it home in their campaign.
But making that issue all about Obamacare Subsidies is fucking weak. MAGAs can lie all over that issue, and talk about how broken that system was, and it will resonate with voters because while Obamacare was better than nothing, it wasn't a LOT better. It still carried high premiums for many, and it still had enormous deductibles, that almost made it impossible to use for many. It was really just super high price catastrophic insurance, only good in the case of really bad hospital stay situation. Even then, there were limits.
Instead, cut them off at the knees, and finally go all in on Medicare 4 All. The MAGAs will scream we can't afford it, but that won't ring true after all their corruption, and the Dems can recite a laundry list of MAGA corruption to pay for it, starting with the ICE budget and the bloated military budget, then start taxing the living daylights out of the Sociopathic Billionaires and their corporations. After that, strip the entire fortunes of the scum that tried to sell out this country. They won't need them anymore, since they'll be spending the rest of their days in a dungeon in Gitmo.
We are at a major crossroads in our history at this moment, and we have the opportunity to choose our future path. After FDR created Social Security, Congress held a Democratic majority for 40 years, because voters didn't trust the issue in Republican hands. The Dems need a BIG issue to build the future on, and Medicare 4 All is the PERFECT issue to build a solid foundation for that future, one that EVERY voter will FIGHT for in every election.
And what will the MAGAs run on in the future? Taking away everyone's free health care, and going back to the good old days when voters were paying bankruptcy rates again? They're propaganda is good, but it's not that good.