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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 help 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 help of abortion entry if she grew to become the occasion’s new presumptive nominee — hitting former President Donald Trump on a difficulty 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 heart stage in his reelection bid, abortion advocates had harbored doubts that the president — a practising Catholic who has mentioned he’s not “massive on abortion” — might 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, however, grew to become the primary vice chairman to go to a clinic run by Deliberate Parenthood. She undertook a nationwide tour targeted 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 info nonprofit that features KFF Well being Information, mentioned in an interview earlier than Biden stepped apart. “Abortion entry would doubtless be entrance and heart in her marketing campaign.”
A robust stance on abortion will not be the one main distinction to the GOP that Harris provides: She is nicely versed in well being coverage. As a toddler, Harris usually accompanied her mom to work on the weekends, visiting the lab the place her mom, a biomedical scientist, was finding out 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 towards consolidation within the well being trade over considerations it will drive up costs.
She stumped for a Biden administration rule setting minimal staffing ranges at federally funded nursing houses 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 wish to do on well being care if she turns into the nominee,” mentioned Debbie Curtis, vice chairman at McDermott + Consulting.
Opinion polls on abortion
An intensified deal with girls’s well being and abortion might assist impress Democratic voters within the remaining dash to the election. For the reason that three Supreme Court docket justices named by Trump helped overturn Roe v. Wade in 2022, public opinion has turned towards Republicans on abortion, contributing to an unexpectedly poor exhibiting within the 2022 midterm elections.
Thirty-two p.c of voters mentioned they’d vote just for a candidate for a significant workplace who shares their views on abortion, in response to a Gallup Ballot performed in Might. That’s a report excessive since Gallup first requested the query in 1992. Practically twice as many citizens who help abortion, in contrast with those that oppose abortion, maintain that view.
Sixty-three p.c of adults mentioned abortion ought to be authorized in all or most circumstances, primarily based on a ballot performed in April by Pew Analysis Middle. Thirty-six p.c mentioned 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 help 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 in the course of the occasion’s conference final week doesn’t explicitly name for a nationwide ban on abortion, occasion leaders did acknowledge “fetal personhood,” the concept as quickly as an egg is fertilized it turns into an individual with full authorized rights. It is a authorized idea 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 suppose abortion ought to be authorized in all or most circumstances, in response to a latest nationwide survey by KFF. And majorities of girls who vote Republican consider 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 certainly one of, if not the primary, situation she’s emphasised within the final 12 months or two,” mentioned 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 doubtless, although, that Republicans would paint Harris’ views on abortion as extremist. In the course of the presidential debate towards Biden, Trump falsely claimed Democrats help abortions late in being pregnant, “even after delivery.”
Shortly after information broke that Biden had endorsed Harris, Susan B. Anthony Professional-Life America issued a press release calling out Harris’ report and providing proof of what’s to return. “Whereas Joe Biden has bother saying the phrase abortion, Kamala Harris shouts it,” mentioned Marjorie Dannenfelser, the group’s president.
Some pollsters have mentioned Harris must do extra than simply marketing campaign towards Republican efforts to roll again abortion entry to actually inspire voters as a result of so many points, equivalent to inflation, the financial system, and immigration, are competing for consideration.
“She has to say she is operating for a federal regulation that may convey again Roe v. Wade,” mentioned Robert Blendon, an emeritus public well being professor at Harvard College. “She wants one thing very particular and clear.”
Supreme Court docket circumstances, once more
Harris’ elevation to the highest of the ticket would come at a crucial juncture within the combat over reproductive rights. The Supreme Court docket heard two abortion circumstances within the time period that ended this month. However the justices didn’t tackle 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 12 months.
In a single case, difficult the FDA’s 2000 approval of the abortion tablet 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 indicate they have been personally injured by its availability.
However the Supreme Court docket 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 might quickly be requested once more to find out the destiny of the abortion tablet.
The different abortion-related case pitted a federal regulation requiring hospitals to supply emergency care towards 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 crucial to guard her well being, together with future fertility.
In that case, the justices apparently failed to achieve 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, might return in comparatively brief order.
ACA, $35 insulin, Medicare
Harris would even have substantial leeway to speak about what are thought of to be the Biden administration’s core well being coverage accomplishments. These embrace enhanced Inexpensive Care Act tax credit aimed toward serving to shoppers get medical health insurance protection, which have been prolonged by the Inflation Discount Act into 2025, the $35 month-to-month cap on copays some sufferers pay for insulin, and drug worth negotiation in Medicare.
“I believe she is nicely positioned. She is core to the administration and can be capable to take credit score for these issues,” mentioned Dan Mendelson, CEO of Morgan Well being, a subsidiary of J.P. Morgan Chase.
That mentioned, it might be onerous for any candidate to get voters to deal with a few of these accomplishments, particularly drug worth efforts.
Whereas the administration has taken some necessary steps, “new costly medicine hold popping out,” Mendelson mentioned. “So for those who take a look at the notion of shoppers, they don’t consider the price of medicine goes down.”
Joseph Antos, of the American Enterprise Institute, mentioned Harris would doubtless say the Biden-Harris administration “is already saving individuals cash” on insulin. However she must transcend these accomplishments and double down on drug pricing and different price points — not speak solely about reproductive rights.
“She’s bought to pay attention, if she desires to win, on points which have a broad attraction,” Antos mentioned. “Price is one and entry to remedies is one other massive 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.