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Ten years after the Supreme Court ruled that states did not have to expand Medicaid, the politics are changing in states like South Dakota, where rural hospitals and nursing homes are struggling.
Turnout is high in most states, and experts see broad Republican energy as well as Democratic enthusiasm in major battlegrounds. But changes in how people vote have added new uncertainty.
In the money race between America’s billionaires and small donors, the emerging political oligarchy is showing staying power. Both parties have megadonors, but Republicans have far more.
As the country struggles with high petrol prices, record inflation and economic uncertainty, some Democrats now acknowledge that their kitchen-sink approach may be lacking.
Leading lawmakers and strategists are openly doubting the party’s kitchen-sink approach, saying Democrats have failed to unite around one central message.