None of the major Democratic presidential candidates have endorsed establishing a national health service in the United States, where physicians would be employed by the government, similar to the British health care system.

Since the enactment of the ACA in 2010, the number of people without health insurance has decreased from 46.5 million in 2010 to 27.9 million in 2018-- a decrease of approximately 20 million.

In 2019, the average annual premium for employer-sponsored health insurance for family coverage including both the worker and employer contribution was $20,576. The total premium increased 22% from 2014 ($16,834).

In 2018, retail prescription drug spending accounted for 9.2 percent of total national health spending in the U.S. In comparison, spending on hospitals accounted for 32.7% of total national health expenditures, and spending on physicians and clinics accounted for 19.9%.

The Trump Administration argues that nearly all of the ACA should be overturned because the individual mandate is no longer constitutional. The Trump Administration argues that the ACA’s protections for people with pre-existing conditions should be struck down along with the individual mandate. The Administration argues that these provisions cannot function effectively without the individual mandate.

All of the above Democratic presidential candidates have either introduced or support proposals that would give Americans an option to choose coverage under a public plan, unless they prefer to keep their private insurance.

Congressman John Conyers was the first Member of Congress or Senator to introduce a bill to provide universal coverage that had Medicare for all in the title, called: The United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) on February 11, 2003. Three years later, in 2006, Senator Kennedy and Congressman John Dingell together introduced a bill called the Medicare for All Act. Senator Bernie Sanders first introduced a bill to create Medicare-for-all in 2017. While Congressman John Conyers was the first to use “Medicare-for-all” in the short title, others proposed a similar approach in prior Congresses, but with a different name.

Under the bill that Bernie Sanders introduced that would create a Medicare-for-all program, there would be no deductibles and copays, except for up to $200 for prescription drugs to encourage use of lower-cost generic drugs.

All of the major democratic presidential candidates support allowing the government to negotiate drug prices.

In 16 states, non-federal state funds are used to pay for abortions in other circumstances for women on Medicaid. 33 states and the District of Columbia follow the Hyde Restrictions, and one state is more restrictive than the federal standard.