Can We Find a Path Between Medicare for All and Building on the ACA?

In this article, we explore the political and policy challenges involved in finding a path between incremental health reform and Medicare for All. We begin by clarifying our goals and move to examining the political barriers that any solution must contend with and overcome. Finally, we outline a path forward in which we must embrace the goals of Medicare for All, consider potential coalition dynamics before combining different goals into a single proposal, and acknowledge the important role states can play in advancing reform.