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The Situation Womb: Best Midterm Hangover in Health Care History

The votes are counted, the Republican bloodbath is real, and now Democrats have to prove it wasn’t a fluke. Drs. Kristin Lyerly, Erin Stevens, and Chris Ford break down election night from the intersection of healthcare and politics, and they ask what Democrats owe voters now that they have the power.

We start with abortion on the ballot, where three of four state measures went the right direction. Nevada, Virginia, and Missouri all passed protections, but Idaho voters rejected reform even as the state loses over a third of its OB-GYNs. We dig into confusing ballot language, dark money, and the disinformation campaigns that shape these votes.

Then it’s time for some accountability. Susan Collins’s long Senate career is over, Roger Marshall and Bill Cassidy are out, and Vivek Ramaswamy’s attack ad on Amy Acton backfired in Ohio. Michele Tafoya’s “pro-choice Republican” campaign fell flat in Minnesota, and Ken Paxton is soon to be former Texas attorney general.

It was also a historic year for doctors. Annie Andrews, Abdul El-Sayed, and Amy Acton are among the physicians and public health voices headed to office, and we note a record number of doctors in the House. We discuss what it means to have medical expertise in state houses from Iowa to Arizona to Florida.

We also celebrate a wave of women in power. Allie Phillips flipped a Tennessee House seat after being denied abortion care for a fatal fetal anomaly. Peggy Flanagan becomes the first Indigenous U.S. senator. Keisha Lance Bottoms becomes Georgia’s first Black woman governor, and Texas elects its first Latina governor and a new attorney general who says he’ll stop weaponizing abortion laws.

Now comes the hard part. With Democrats holding 22 trifectas, it’s time to play offense by repealing waiting periods and TRAP laws, pursuing public option and rural hospital proposals, and codifying reproductive rights. But voters are hurting, and the GOP’s dark money machine isn’t going anywhere. Democrats need to show people what they’re doing and make clear which healthcare cuts are Republican policies already passed, or the wins could be squandered before 2028.

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