Democrats outline a new vision for the health care system six months ago. In the Democratic National Convention platform, they pledge to protect and expand the Affordable Care Act (ACA) to prevent Republicans from repealing it. The ACA is reported to have reduced the proportion of uninsured Americans from 16% in 2010 to 8% in 2024, with 21 million people currently having health insurance through the ACA. They support expanding Medicaid for low-income Americans, including the 2.8 million people in states where Republicans deny aid. They propose permanent subsidies for ACA insurance premiums, which, according to the Congressional Budget Office, would cost the federal budget $335 billion over 10 years. Through the Inflation Reduction Act, they capped the price of insulin at $35 a month for nearly 4 million Medicare beneficiaries and want to extend that to all diabetics, saving thousands of dollars a year. They plan to increase Medicare drug price negotiations to at least 50 drugs a year and limit copays for generics to $2 per dose for all beneficiaries.