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All through Joe Biden’s presidency, he leaned on the outspoken former prosecutor and senator he chosen as his vice chairman, Kamala Harris, to be the White Home’s voice of unflinching assist for reproductive well being rights.
Now, as Democrats rebuild their presidential ticket just some months earlier than Election Day, Harris would broadly be anticipated to take an aggressive stance in assist of abortion entry if she turned the celebration’s new presumptive nominee — hitting former President Donald Trump on a problem that might undermine his possibilities of victory. Biden endorsed Harris on Sunday when he introduced his choice to depart the race.
Whereas Biden sought to maintain abortion middle stage in his reelection bid, abortion advocates had harbored doubts that the president — a working towards Catholic who has stated he’s not “large on abortion” — may very well be an efficient standard-bearer as Republican efforts erode entry to abortion and different girls’s well being care across the nation.
Main messenger
Harris, alternatively, turned the primary vice chairman to go to a clinic run by Deliberate Parenthood. She undertook a nationwide tour centered on reproductive rights. And when Sen. JD Vance of Ohio was named Trump’s operating mate, Harris used her subsequent marketing campaign look to criticize him for blocking protections for in vitro fertilization.
“Most importantly, Harris can be the face of the drive to guard abortion rights,” Larry Levitt, govt vice chairman for well being coverage at KFF, a well being data nonprofit that features KFF Well being Information, stated in an interview earlier than Biden stepped apart. “Abortion entry would probably be entrance and middle in her marketing campaign.”
A robust stance on abortion is just not the one main distinction to the GOP that Harris presents: She is effectively versed in well being coverage. As a baby, Harris usually accompanied her mom to work on the weekends, visiting the lab the place her mom, a biomedical scientist, was learning breast most cancers.
Whereas operating for president in 2019, she backed “Medicare for All,” a single-payer insurance coverage proposal that established her bona fides as a extra progressive voice on well being coverage. And as California’s lawyer basic, she fought in opposition to consolidation within the well being trade over considerations it could drive up costs.
She stumped for a Biden administration rule setting minimal staffing ranges at federally funded nursing properties in April.
“She deserves credit score, she’s talked about them on the marketing campaign path. I don’t see any change there within the priorities on what Democrats need to do on well being care if she turns into the nominee,” stated Debbie Curtis, vice chairman at McDermott + Consulting.
Opinion polls on abortion
An intensified give attention to girls’s well being and abortion may assist provoke Democratic voters within the closing dash to the election. Because the three Supreme Courtroom justices named by Trump helped overturn Roe v. Wade in 2022, public opinion has turned in opposition to Republicans on abortion, contributing to an unexpectedly poor displaying within the 2022 midterm elections.
Thirty-two % of voters stated they’d vote just for a candidate for a serious workplace who shares their views on abortion, based on a Gallup Ballot performed in Could. That’s a file excessive since Gallup first requested the query in 1992. Practically twice as many citizens who assist abortion, in contrast with those that oppose abortion, maintain that view.
Sixty-three % of adults stated abortion ought to be authorized in all or most circumstances, primarily based on a ballot performed in April by Pew Analysis Middle. Thirty-six % stated it ought to be unlawful in all or most circumstances.
Republicans, in flip, have been desirous to distance themselves from their very own victory on the difficulty. Trump angered some members of his base by saying he would go away choices on abortion to the states.
Regardless, advocates warning that the GOP’s new moderation-by-omission on the difficulty masks their precise, extra excessive stance. When Vance was operating for Senate, he was clear about his assist for a nationwide abortion ban, although he now says he helps Trump’s place to let the states resolve. And whereas the GOP platform adopted throughout the celebration’s conference final week doesn’t explicitly name for a nationwide ban on abortion, celebration leaders did acknowledge “fetal personhood,” the concept that as quickly as an egg is fertilized it turns into an individual with full authorized rights. It is a authorized principle that might finish each IVF and abortion.
Views of Republican girls
These views stand in distinction to these of many Republicans, particularly girls. About half of Republican girls voters assume abortion ought to be authorized in all or most circumstances, based on a current nationwide survey by KFF. And majorities of ladies who vote Republican imagine abortion ought to be authorized in circumstances of rape, incest, or a being pregnant emergency.
If Harris heads the ticket, she can be anticipated to hammer on these points within the coming months.
“It’s been one in every of, if not the primary, situation she’s emphasised within the final yr or two,” stated Matthew Baum, Marvin Kalb professor of worldwide communications at Harvard College. “Clearly the Republicans try to defang the difficulty. It’s been a catastrophe for them.”
It’s probably, although, that Republicans would paint Harris’ views on abortion as extremist. Throughout the presidential debate in opposition to Biden, Trump falsely claimed Democrats assist abortions late in being pregnant, “even after delivery.”
Shortly after information broke that Biden had endorsed Harris, Susan B. Anthony Professional-Life America issued an announcement calling out Harris’ file and providing proof of what’s to come back. “Whereas Joe Biden has hassle saying the phrase abortion, Kamala Harris shouts it,” stated Marjorie Dannenfelser, the group’s president.
Some pollsters have stated Harris must do extra than simply marketing campaign in opposition to Republican efforts to roll again abortion entry to really encourage voters as a result of so many points, similar to inflation, the financial system, and immigration, are competing for consideration.
“She has to say she is operating for a federal legislation that can carry again Roe v. Wade,” stated Robert Blendon, an emeritus public well being professor at Harvard College. “She wants one thing very particular and clear.”
Supreme Courtroom circumstances, once more
Harris’ elevation to the highest of the ticket would come at a vital juncture within the struggle over reproductive rights. The Supreme Courtroom heard two abortion circumstances within the time period that ended this month. However the justices didn’t handle the deserves of the problems in both case, ruling as a substitute on technicalities. Each are anticipated to return to the excessive courtroom as quickly as subsequent yr.
In a single case, difficult the FDA’s 2000 approval of the abortion capsule mifepristone, the justices dominated that the group of anti-abortion medical professionals who challenged the drug lacked standing to sue as a result of they failed to point out they have been personally injured by its availability.
However the Supreme Courtroom returned the case to the district courtroom in Texas the place it was filed, and the GOP attorneys basic of three states — Idaho, Kansas, and Missouri — have joined the case as plaintiffs. Whether or not the courts settle for the states as viable challengers stays to be seen, but when they do, the justices may quickly be requested once more to find out the destiny of the abortion capsule.
The different abortion-related case pitted a federal legislation requiring hospitals to offer emergency care in opposition to Idaho’s strict ban, which permits abortions when a pregnant affected person’s life is at risk — however not in circumstances by which it’s vital to guard her well being, together with future fertility.
In that case, the justices apparently failed to succeed in any majority settlement, declaring as a substitute that they have been untimely in accepting the case and sending it again to the decrease courtroom for additional consideration. That case, too, may return in comparatively brief order.
ACA, $35 insulin, Medicare
Harris would even have substantial leeway to speak about what are thought-about to be the Biden administration’s core well being coverage accomplishments. These embrace enhanced Reasonably priced Care Act tax credit aimed toward serving to shoppers get medical insurance protection, which have been prolonged via the Inflation Discount Act into 2025, the $35 month-to-month cap on copays some sufferers pay for insulin, and drug value negotiation in Medicare.
“I feel she is effectively positioned. She is core to the administration and can be capable of take credit score for these issues,” stated Dan Mendelson, CEO of Morgan Well being, a subsidiary of J.P. Morgan Chase.
That stated, it might be laborious for any candidate to get voters to give attention to a few of these accomplishments, particularly drug value efforts.
Whereas the administration has taken some essential steps, “new costly medication preserve popping out,” Mendelson stated. “So in case you have a look at the notion of shoppers, they don’t imagine the price of medication goes down.”
Joseph Antos, of the American Enterprise Institute, stated Harris would probably say the Biden-Harris administration “is already saving individuals cash” on insulin. However she should transcend these accomplishments and double down on drug pricing and different price points — not speak solely about reproductive rights.
“She’s acquired to pay attention, if she desires to win, on points which have a broad enchantment,” Antos stated. “Price is one and entry to therapies is one other large situation.”
Samantha Younger of KFF Well being Information contributed to this report.
KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points. It’s a core working program at KFF, a well being coverage analysis group.