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The 2026 election could reshape healthcare

22 October 2026 at 23:00
Protestors supporting universal healthcare
New Yorkers march in support of universal healthcare this summer. | LightRocket via Getty Images

Americans are furious about the state of our healthcare system. 

A recent KFF poll found 60 percent of US adults worry about the cost of medical care — more than gasoline, food and groceries, or their rent or mortgage. One in three Americans say they worry every day or almost every day about their ability to afford healthcare, per a new survey from the Pew Research Center. There seems to be a growing appetite for reform, too: More than 65 percent of Americans say they support the government spending more tax dollars to lower healthcare costs. 

Democrats are trying to weaponize those frustrations against the Republicans who currently hold Congress and the White House. By a 2-to-1 margin, voters say they trust Democrats over Republicans on healthcare. That could mean single-payer Medicare-for-all or a new public insurance option or maybe something else. What all this energy leads to will depend on what happens in November. The candidates themselves are framing the stakes in those existential terms. 

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“Medicare for all is where we need to go,” Abdul El-Sayed, the Democratic candidate in the Michigan Senate race whose support for the policy has been widely covered, said during an August interview with CNN. “And my hope is, both coming out of the 2026 midterms and then out of 2028, that we’re going to be on our way to a Senate majority to be able to get this done.”

Real change will have to wait for the 2028 presidential election and a new occupant in the White House. But this year’s midterms are still a make-or-break moment: The candidates who get elected this year, and how they shape the upcoming presidential primary debate and actions in Congress, will determine whether healthcare reform happens at all. 

If you’re fed up with the state of American healthcare, and you want to see a change, you should show up for the midterms on Tuesday, November 3.

Big midterm wins can beget big healthcare wins 

The classic pattern in American elections is that more voters go to the polls during presidential campaigns than during the midterm elections when only House and Senate seats are on the ballot. Turnout has started to tick up for the midterms in recent years, but it still trails behind presidential years. Midterms suffer from the perception that there’s not as much at stake if the White House is not on the line.

But that’s never been strictly true. 

Midterm elections are extraordinarily important in shaping the future of policymaking, even if the payoff is delayed. They help determine both the character of the Congress that could eventually pass a major bill after the next presidential election, and the kind of ideas and policies that are going to be prioritized.

“Voters should see 2026 and 2028 as the elections that will guide the next big change in our healthcare system,” said Natalie Davis, CEO and co-founder of the advocacy group United States of Care, in a statement to Vox. “These elections will be how voters’ demands are heard — and will tell us whether the next real window for change will come with serious reforms or missed opportunity.”

A walk through the recent history of healthcare reform should help make the stakes of the 2026 elections clear.

In 2006, the national mood looked similar to what we’re seeing today. A very unpopular Republican president was in office, and the country had soured on his agenda. George W. Bush’s foreign wars and his misguided attempt to overhaul Social Security gave Democrats an opportunity to win big in the 2006 midterms — and they did. Dems won more than 30 seats and secured a comfortable majority in the House. In the Senate, they won six seats and narrowly took control of that chamber too.

It was a resounding rejection of the Bush administration, and it set up the next decade of Democratic policymaking. At the highest level, the midterms gave energy to the progressive wing of the Democratic Party, united as they were around their opposition to the Iraq War, and that energy carried over to the presidential primary. Barack Obama defeated Hillary Clinton and won the presidency, springboarding off of the excitement that started with the 2006 elections.

Dems’ success in the midterms also helped put lowering healthcare costs at the forefront of the Democratic agenda. That encouraged both Obama and Clinton to develop detailed healthcare policy proposals during their primary campaigns and ultimately set the stage for the Democrats to pursue the Affordable Care Act once they had full control of the government in 2009.

And then there is the literal size of the congressional majorities that parties need to pass their agenda. Voters may not spend much time thinking about whip counts, but one or two elections in a midterm year can ultimately decide the fate of the next president’s agenda. 

Part of the reason Democrats were able to pass the ACA was that they built on their huge wins in 2006 with more wins in 2008 and held massive congressional majorities once Obama was sworn in. And once the debate over healthcare reform really got started, they needed every single vote. It was especially important in the Senate: Democrats had exactly 60 votes in 2009. That meant if all of them united together, they could pass filibuster-proof legislation — so long as nobody defected. That was only possible because in 2006 Mark Pryor won a Senate seat in Arkansas, Sherrod Brown triumphed in a Senate race in Ohio, and Jon Tester beat an incumbent Republican in Montana. 

Without those wins in 2006, the Democratic legislative agenda in 2009 would probably have looked different. They might’ve had to pursue a more limited healthcare reform plan; maybe the ACA wouldn’t have passed at all.

What kind of Democrats will be on the rise in 2028?

The 2006 midterms both created the opportunity for the ACA — and set the limits on what the legislation could actually achieve. Democrats had that 60-seat Senate majority, but within it were many more moderate members. Policies like the public option (which would have authorized the government to create its own health insurance plan to sell alongside private insurance) couldn’t get sufficient support. That is the dilemma of policymaking: You need those swing-seat members to win, which often means tacking to the center, but you also can’t pass anything they won’t get on board with. 

Nevertheless, that is a good kind of political problem to have, one which Democrats would be thrilled to face in January 2029. All of which brings us to 2026. What are we going to do now?

It all starts with the vote count. Most projections expect the Democrats to win between 10 and 20 House seats. But the difference between 10 and 20 could be substantial. The cushier the majority, the further you can push the policy agenda. More than 30 House Democrats actually voted against the ACA, but they could still narrowly pass the bill because of the huge majority that they had started building in 2006. 

If you live in one of the districts — like Arizona’s Sixth or Colorado’s Eighth or Florida’s 22nd, to name just a couple of the 21 toss-up races identified by the Cook Political Report this year — that forecasters say is competitive this year, you could have an outsized say in what the future of policymaking looks like. But even in safe districts, you should vote: Elections are the most reliable way we have to gauge public opinion, and strong victories for the candidates who prioritize healthcare send a message.

The same goes for the Senate. If Democrats sweep all of the competitive races, they could have up to 55 seats in the Senate in 2027 — with a chance to build on it in 2028. If you are a voter in Kansas, Michigan, Ohio, Texas, Alaska, Maine, New Hampshire, or Iowa, your ballot carries extra weight for the next steps in US healthcare reform. If the Democrats can reach 60 votes again in 2029, they would have much more flexibility about what to pass. Even if they fall short of that magic number, the more of a cushion they have above 50, the more likely that their Senate leaders can find support for altering Senate rules for the filibuster and get an ambitious bill approved.

How you can get involved this election

If there is ever going to be a path to a true healthcare overhaul, it starts with this year’s elections. If you want to see a change, you can vote — and you can do more than that. 

The results of this year’s midterms will also set the terms of the debate among Democrats. We are likely to see “show” bills advanced by Dems next year that may have no chance of being signed by President Donald Trump, but that will give us a sense of what kind of policies the party wants to pursue and how much support there is for them. Believe it or not, the first Medicare prescription drug negotiations bill passed the House in 2007 after Democrats’ big wins in 2006 — even though the policy didn’t become law for another 15 years. The broader public may not pay much attention to this kind of doomed-to-fail legislation, but it is often a window into the future.

“One challenge for Democrats is finding the next big health care idea beyond the Affordable Care Act that will resonate with voters and respond to their affordability concerns,” said Larry Levitt, executive vice president for health policy at KFF. “One big difference between now and 2006 is that back then there was already a lot of coalescing around ideas that ultimately led to the ACA. All the major Democratic candidates for president in 2008 supported something like that. I’m not sure that’s true now, at least not yet.”

Democrats are already aligning on a wide range of healthcare ideas, from reviving the public option to free primary care to the full-blown Medicare-for-all supported by progressive candidates, some of whom are in competitive elections. If El-Sayed wins the Senate race in Michigan, for example, that could supercharge a debate around Medicare-for-all. It could also provide momentum to any progressives who run for president — Alexandria Ocasio-Cortez, to name one obvious example — and decide to make Medicare-for-all a pillar of their platform.

But if El-Sayed and other progressives were to fall short, that could make Democrats more timid about being ambitious in the 2028 campaign and afterward. Still, he’s far from the only candidate in a crucial race to put their support behind Medicare-for-all. There is Randy Villegas in an important California House race. Troy Jackson has bet on it as part of his bid to topple Sen. Susan Collins in Maine. All of these races will send a signal to the party about what the public wants and is willing to turn out for.

In some ways, winning elections is the easy part. Legislating is hard, and any eventual healthcare law will surely involve compromises and unexpected surprises. Who knows what will be happening in the world in 2029? 

“The bottom line is: 2026 is a healthcare election,” the leaders of the advocacy group Protect Our Care wrote in a campaign memo this month. “After November, it’s up to Democrats to keep up the fight to deliver relief to families and make healthcare affordable and accessible for every American.”

The hate that goes ignored

22 October 2026 at 18:25
Ilhan Omar sitting for a portrait
Rep. Ilhan Omar (D-MN) poses for a portrait in her office on Capitol Hill on Wednesday December 10, 2025. | Demetrius Freeman/The Washington Post via Getty Images

Welcome to The Midterms, Actually. Every week I’ll be writing about two things: one big idea or trend I see forming across the 2026 primaries, and one thing I’m hearing from a voice on the ground. Let’s get into it.

One thing I’m thinking about: Electability and identity are intertwined 

On Sunday, former President Barack Obama did something most others seemed to avoid: He called out the Trump administration’s targeting of Rep. Ilhan Omar.

The administration, Obama wrote, is “actively trying to deport Congresswoman Omar” over a theory he called unsubstantiated: that she was 18, not 17, when her father was naturalized. The effort, he said, “should outrage all Americans, regardless of how they feel about Congresswoman Omar’s political views.” 

The statement stands in contrast to the mixed response of Democrats on the campaign trail and the relative silence of the mainstream press. House leadership put out a statement condemning the raid — but there’s been nothing from Senate Democratic leadership and little from the crop of elected officials expected to run for president in 2028. 

As The Intercept’s Adam Johnson pointed out, the August 2025 raid on former Trump adviser John Bolton drew scathing editorials from the New York Times, Washington Post, and the Wall Street Journal within days. The same goes for other ways Trump has weaponized the federal government against his political enemies, from the cases against James Comey and New York Attorney General Letitia James to the pursuit of Federal Reserve officials (Obama named all three in his statement). Omar’s raid has drawn much less intense coverage. Last week, I got three requests from cable outlets to discuss “news of the day” — each mentioned fired White House press secretary Katie Zacharia, new midterms polling, and some combination of Pete Hegseth and the war with Iran. None mentioned Omar.  

The entire episode has reminded me of Trump’s targeting of Black journalists like Don Lemon and Georgia Fort. Earlier this year, they were indicted after covering an anti-ICE protest that disrupted a service at Cities Church in St. Paul, and both have pleaded not guilty. In that case, there was also a muted reaction from the establishment press, possibly because of mixed feelings about Lemon personally or the lack of solidarity with independent Black media. Still, that silence was shortsighted, as the Trump administration used the incident as a stepping stone to target the wider media apparatus (See: Trump’s September attempt to bar CNN, MS NOW, and Politico from the White House).

With that in mind, I don’t think it’s hard to guess why Omar hasn’t received the fulsome backing of her party. I don’t think it’s the merits of the case: She hasn’t been charged with a crime, and the theory depends on a decades-old immigration filing by a father who died in 2020. It’s likely the fact that the Minnesota progressive has herself had a tense relationship with the Democratic establishment. That dates back to the 2019 fight over comments Omar made about the influence of the pro-Israel lobby in Congress, which some took to be antisemitic. In recent weeks, Minnesota Democrats, including Rep. Angie Craig and Sen. Amy Klobuchar’s office, criticized Omar’s plans to appear at an October 26 event hosted by state Sen. Omar Fateh with Hasan Piker, the controversial leftist Twitch streamer who has become a lightning rod in this year’s primaries.

But there’s another factor that we should also name in this episode: Islamophobia. As I discussed with Mehdi Hasan on Substack Live a couple weeks ago, the rise of the progressive left cannot be untangled from Muslim elected officials who have become its face: Omar in Minnesota, Abdul El-Sayed in Michigan, and Zohran Mamdani in New York City. And in each case, these candidates have faced attacks that explicitly seek to frame their religion and identity as inherently anti-American, a threat not only to our national values but our democracy itself.

Asked on CBS whether he believed El-Sayed was a terrorist, Republican Mike Rogers said to “look at the data — it’s pretty clear.” In a recent television ad (a seven-figure buy titled “Threat”) launched by Rogers and the National Republican Senatorial Committee, its narrator says, “Abdul raises money from dangerous people who finance terrorist networks,” tying the candidate to the Muslim Brotherhood and al-Qaeda. The NRSC’s ads also notably use his full name, Abdulrahman Mohamed El-Sayed.

But importantly, it’s not just Republicans engaging in overt bigotry. They have also been aided by moderate Democrats and the press, who have used the guise of “electability” to beat the same drum. Think back to the New York City mayoral race, where (Democrat!) Andrew Cuomo spent the final weeks running a campaign virtually indistinguishable from the tactics of the MAGA right. On a radio show, host Sid Rosenberg said Mamdani would cheer if another 9/11 happened, and Cuomo laughed, seeming to agree. Cuomo’s X account even posted, then deleted, an AI-generated ad called “Criminals for Zohran Mamdani,” which opens with a fake Mamdani eating rice with his hands. The campaign blamed a “junior staffer.”

The worst part: In following Republicans down the road of interrogating the Scary Muslims, we perpetrate a form of hate that has real costs. Just this May, two teenagers opened fire at the Islamic Center of San Diego, killing three people, and left behind a manifesto invoking the Christchurch mosque shooter. Analysts at the Anti-Defamation League found it expressed sweeping hatred of Muslims, Jews, Black and Hispanic people, and the LGBTQ+ community.

And journalistically, we avoid a more nuanced conversation that is the one worth having: the connection between identity and electability.

And journalistically, we avoid a more nuanced conversation that is the one worth having: the connection between identity and electability. The discussion about candidates El-Sayed and Mamdani, to this point, has focused on whether their progressive policy stances can play well in a general election. However, research shows that while candidates of marginalized backgrounds (women, Black and Latinos, Arabs, etc.) face an electoral penalty from voters regardless of ideology or political party, that’s especially true for Muslim candidates. A study of state legislative races in Politics and Religion this year found Muslim candidates were roughly 16 percentage points less likely to win general elections than non-Muslim candidates, and 10–15 points behind other racial minorities. Experiments by the political scientist Nazita Lajevardi, cited in that paper, found voters about 10 percent less likely to pick a Muslim candidate over a white one, with religion rather than race as the trigger.

This would seem to explain some of the reason El-Sayed seems to be running behind other Senate Democrats (if we believe the polling). But you rarely hear that reasoning given by the electability crowd, who more than often cites his progressive beliefs, and are we just supposed to nominate Christian white guys forever?

Here’s what is undeniable: Republicans have become quite adept at putting minority communities against each other in the Trump era, and they’re running that playbook in Michigan. Whether it’s telling Black communities that emerging immigrant populations are taking their jobs or telling immigrant communities that Democrats are too focused on Black issues, the strategy has been to exploit the racial tension at the heart of the Democratic base. And to some degree — it’s working.

In an August interview with Clay Cane at The Grio, a Black-focused outlet, El-Sayed said “mistrust among Black folk in Metro Detroit is well-founded,” pointing to what he described as tensions between some Arab and Muslim business owners. And the skepticism runs the other way too — as part of the difficulty El-Sayed has faced in Black communities is tied to the Islamophobia among that voting block. One example: At a July campaign event for Haley Stevens, a Farmington school board trustee told a Michigan Chronicle reporter, “Don’t just come in here speaking Arabic,” remarks the Council on American Islamic Relations condemned as anti-Arab racism and many read as aimed at El-Sayed. At an August 19 press conference, an older Black man in Detroit shouted at El-Sayed, “He’s an Arab — he don’t care nothing about Black folks.”

The layered nature of this issue should not be hard to grasp. Ask liberals about the 2024 election, and they are quick to point out the racism and sexism faced by candidates like Kamala Harris, and rightly argue that impacted her “electability” just as much as her refusal to break from President Joe Biden or embrace a clear ideological lane. But they conveniently leave out the importance of identity when it comes to Omar, El-Sayed, Mamdani, or even candidates like Francesca Hong in Wisconsin or Angie Nixon in Florida. As Zaid Jilani wrote recently, establishment Democrats are “effectively denying that prejudice exists in the United States if they’re really going to argue that Abdul El-Sayed will perform a few points behind other Democrats because of his PolIcY ViEwS rather than the GOP hating Muslims for 25 years.”

But we should be clear: “Hating Muslims” is not a prejudice that’s limited to the GOP, just as issues like racism, sexism, or antisemitism aren’t housed on one side of the aisle either. And in selectively ignoring the central role that prejudice plays in electoral politics — yes, even with progressive candidates — electability-focused Democrats aid the GOP’s desire to sow discord among their base.

The main reason for Democrats to stand up for Omar or El-Sayed is because it’s right, and they, too, have a place in American democracy. But at minimum, Democrats should see that in ignoring explicit Islamophobia — on the campaign trail or in the White House — they are being rather shortsighted. Trump’s campaign of retribution is unlikely to spare any enemy. Muslims may be the focus right now. But there’s no telling who’s next. You’re either for a multiracial, multifaith coalition — or you’re not.

One thing I’m hearing 

This week, we talked to Christian Paz, a Vox correspondent covering national politics and American religion. He’s been reporting from Kansas for an upcoming story on pastor and Democratic Senate candidate Adam Hamilton, whose race has emerged as a major campaign battleground in the final stretch. I wanted to ask him how Hamilton’s faith is shaping his campaign, what he is hearing from voters, and what the race could tell us about the Democrats’ ability to compete in long held Republican states. 

How is Adam Hamilton’s background as a pastor shaping his pitch, and what is he doing differently from other Democrats?

Watching Hamilton on the trail, it was remarkable to me how much his Methodist faith was at the heart of everything he talked about: about healthcare, climate, immigration, and foreign policy, about how his personal views either conflict with or bolster his policy stance, about how Trump and the GOP have failed Kansans, and about why he even decided to run (after he spent time dwelling on the Sermon on the Mount). He tailors his stump speech to different audiences, of course: At a progressive book shop, he leaned into a more anti-Trump speech; at a senior center he talked up his more conservative viewpoints on immigration and climate; at a Republicans for Hamilton rally he talked about the political center and why he wants to build a big tent; at a chapel, he led the audience in singing a hymn and quoted extensively from the Gospels as he shared his personally “pro-life” views — but it was all not just tinged, but immersed in Christianity.

“The race already tells us a few things, regardless of who wins or loses: Democrats should be creating opportunities to elevate religious people or clergy who want to run for office.”

It’s something I’ve only seen people like Rev. Raphael Warnock do, when speaking at churches on the campaign trail in 2020 and 2021. And it was different from James Talarico too — this guy leads a megachurch, and at times can slip into a kind of evangelical tone. That’s all pretty different than any other Democrat I’ve watched this cycle.

Hamilton needs to win over Kansans outside his party to have a shot. What were you hearing on the ground talking to voters?

The faith pitch is a huge part of why it does seem like he has a shot at winning: It doesn’t seem like he’s adopting or borrowing the language of the faithful, or their aesthetics, to talk politics, or just pitching the political center as a way to persuade voters. It’s that he’s adopting the tone and language of politics to talk about his faith — not the other way around. And the result is that when he talks about building a big tent, holding heterodox views, coexisting with people you disagree with — people trust and believe him.

I think I talked to more actual independents and Republicans who are backing Hamilton than actual die-hard Democrats over the days I was in Kansas. Some of these folks have voted at the local level for Democrats before, but tended to vote Republican at the national level. What unified those conversations was the sense that they think Hamilton is authentic, is a moral man with good character, and seems to be truly independent.

Others, including Democrats, said they appreciated how much time Hamilton spent talking about freedom of religion and diversity of thought — they liked that he would preface his religious talk with assurances that he wasn’t trying to convert anyone or force religion into people’s lives, but would also say he wasn’t going to compromise on it because of how genuinely he believes those things.

What could this race tell us about Democrats’ ability to reach religious voters in other Republican states?

The race already tells us a few things, regardless of who wins or loses: Democrats should be creating opportunities to elevate religious people or clergy who want to run for office. Those who aspire to run for office should also feel more comfortable talking about their faith if it’s actually a part of their lives. And Democrats shouldn’t feel beholden to the secular/atheist/none of the above/nothing in particular segment of their base because that isn’t big enough to actually win elections.

The Cornell rape case has surfaced a hidden divide among progressives

22 October 2026 at 13:00
Protesters holding signs about sexual violence and justice
A rally takes place in New York City on October 8, 2026, in the wake of Cornell University rape accusations. | Selcuk Acar/Anadolu via Getty Images

The harrowing allegations of rape at a Cornell University fraternity have been rippling out in both New York state and national politics.

Democrats have tended to voice sympathy with the accuser, saying that they stand with her and other victims. Rep. Alexandria Ocasio-Cortez (D-NY) said there was “a culture of rape, sexual assault, and pedophilia” in elite institutions across the country. Michigan Senate candidate Abdul El-Sayed said Cornell “protected her abusers, letting them off with a slap on the wrist.” 

Key takeaways

  • In the wake of the Cornell rape allegations, advocates for victims of rape and sexual assault are renewing a push for New York to close what they call the “voluntary intoxication loophole” in state law.
  • This proposed change would make it easier for prosecutors to argue that people can be too intoxicated to consent to sex, even if they are conscious and haven’t explicitly said no.
  • But this reform effort has met resistance from key parts of the progressive coalition who are skeptical of the criminal justice system; they fear new tough laws will be weaponized against minority groups and contribute to mass incarceration.

New York Gov. Kathy Hochul said the accuser was “failed” by local police and county prosecutors who did not bring charges, so Hochul appointed state Attorney General Letitia James to take over the investigation. Days before that appointment, James posted on social media that “what this young woman has been forced to endure is horrific and unacceptable,” adding: “To her, and to all survivors: you’re not alone. We stand with you.” 

Some Republicans, meanwhile, are accusing Democrats of rushing to judgment. Saritha Komatireddy, who is running for attorney general of New York against James, said in a debate that James had “screwed this one up by prejudging it.” The investigation, Komatireddy said, “requires someone who approaches the case with fairness, impartiality and integrity.” And right-wing commentators like Megyn Kelly and Ben Shapiro have questioned the accuser’s story.

But beyond the procedural fight over this particular investigation, many Democrats have also called for changing the law to make cases like it that involve drugs or alcohol easier to prosecute in general. 

This might seem like a clean issue for the party, in line with prior progressive efforts to crack down on sexual assault via Title IX and expanding statute of limitations laws. 

However, it’s not so simple: According to my conversations with experts and advocates involved in these reform conversations, this is where the Democratic unity begins to fray, because of a divide between two key parts of the progressive coalition. 

The impulse to create stronger protections for victims has crashed into the left’s longstanding suspicion of the criminal justice system. And as a result, a coherent policy response has been hard to craft — and may end up being impossible to get agreement on.

On one side are advocacy groups for women and for victims of rape or sexual assault. They argue that current law — in New York and other states — makes it far too difficult to successfully prosecute perpetrators, and that it should be changed. They’ve advocated for closing what they call the “voluntary intoxication loophole,” which they say makes it harder to prosecute abusers of victims who have willingly consumed drugs or alcohol.

On the other side are various progressive or left constituencies that are deeply skeptical of the criminal justice system. These constituencies — which include key figures in New York’s Black political establishment, public defenders, supporters of criminal justice reform, and members of the Democratic Socialists of America — are united by a shared antipathy to mass incarceration and what they see as disproportionate police targeting of minority communities. 

The former camp argues that false rape and sexual assault allegations are vanishingly rare, that these crimes are hugely underpunished, and that the law needs to be updated to make these prosecutions easier. But the latter camp argues that Black and other nonwhite men are often falsely accused, and that it would be unwise to hand prosecutors another tool they could use to put men in jail in cases where ascertaining consent is more difficult.

It’s a fraught debate. Modern-day progressives have strongly backed the Me Too movement as well as campaigns for racial justice and criminal justice reform. Progressives want to be on the side of victims against the privileged and powerful — but sometimes, they have different ideas about who falls into which category.

The legal issues around “voluntary intoxication” and rape charges, explained

The current controversy in New York focuses on efforts to close what advocates call the “voluntary intoxication loophole” in rape and sexual assault law.

Every state says rape is a crime. Every state says it’s a crime to have sex with someone who is unconscious. And every state says it’s a crime to have sex with someone who is incapacitated due to unknowingly being dosed with drugs.

But what about someone who chooses to drink or take drugs, who remains conscious, and who doesn’t outright refuse consent? Should there be a standard by which the law deems that person incapable of meaningfully consenting, because they are too intoxicated? 

Many states have long had laws on the books saying yes — that someone who voluntarily drinks or does drugs can reach a state where they are too mentally impaired to consent to sex, even if they’re conscious and capable of communicating. But about half of states don’t have such a law, according to the Associated Press. And this hasn’t been an especially partisan issue to this point, with a mix of red and blue states adopting each standard.

The push to change the law in New York predates the Cornell case, and goes back to the late 2010s. At that time, the Me Too movement had put Manhattan District Attorney Cyrus Vance Jr. in the hot seat, with advocates criticizing him for not initially prosecuting Harvey Weinstein and arguing he was soft on rape and sex crimes generally. 

In the midst of pivoting on the issue (he had Weinstein indicted in 2018), Vance claimed that, in certain of these cases, his office was hamstrung by what he called a “loophole” in New York law involving intoxication. “Prosecutors cannot bring sex crime charges in cases where the victim became voluntarily intoxicated and was unable to consent,” he wrote in a letter. So really, Vance said, it was on the legislature to change the law.

Quickly, critics argued that Vance had misstated the law, saying it was not actually true that a loophole allowed people to rape voluntarily intoxicated New Yorkers with impunity. Vance’s office later acknowledged that his initial comments were “inartfully put.” 

The problematic cases, Vance’s team argued, were about victims who were “too intoxicated to consent” but who were also at least partially conscious and didn’t outright express their unwillingness — this, they said, was the “gap in the law.” “There’s a real problem that we have with people getting drunk and then being taken advantage of,” Vance said. 

So some Democrats and groups advocating for victims of sexual assault and rape kicked off an effort to change that law, in New York and elsewhere. Their favored bill says that lack of consent can be established if an alleged victim is “temporarily incapable of appraising or controlling their conduct” — and if the accused knew or reasonably should have known that.

Critics argue, though, that such bills go too far, and could make it easier to prosecute sexual encounters that, to the accused, seemed consensual. 

“The proposed legislation fails to provide any objective guidance about when a partner is too intoxicated to legally agree to engage in sexual conduct,” the New York State Association of Criminal Defense Lawyers said in an emailed statement.

Skeptics of the bill outlined several scenarios that concerned them, including scenarios where one person seems to consent but later decides that, in retrospect, they were too intoxicated for it to have truly been consensual. 

“You get all these scenarios where two people meet up at a bar and they both become voluntarily intoxicated,” said Yung-Mi Lee, a public defender and a former president of New York’s criminal defense lawyers association. “So then, if someone later says, ‘I was voluntarily incapable of appraising my conduct, I lost my inhibitions,’ they could say, ‘You committed a rape against me.’”

To advocates for victims’ rights, these concerns are overstated. “The burden that’s placed on a victim of sexual violence is such a large burden to bear in the first place that these changes to the law are really just slightly opening the door,” Rebecca Zipkin of the advocacy group World Without Exploitation told me.

“The current situation is not working to provide justice for survivors,” Stefan Turkheimer of RAINN, a network for rape and abuse survivors, told me. “The status quo is not okay.”

Why it hasn’t passed in New York

Versions of the voluntary intoxication bill have been signed into law in recent years in Minnesota, Michigan, and Texas. The bill has also repeatedly passed the New York state Senate by overwhelming margins. But it has never been brought to a vote in the lower chamber, the New York state Assembly.

That’s because, advocates for the bill told me, they’ve faced resistance from some influential parts of the Democratic Party and progressive coalition. 

Indeed, the skeptics are said to include two factions that are often at odds: New York’s Black political establishment and the Democratic Socialists of America. 

Assembly Speaker Carl Heastie controls which bills come to a vote in his chamber. He was an architect of the state’s sweeping bail reform law, a critic of what he called the existing “racist and classist system,” and has said he would be “a failure as a Black man” if he did not pass criminal justice reform. 

“It is generally known that Speaker Heastie does not believe in creating new crimes because he believes New York suffers from overincarceration,” Lizzie Asher, an advocate for changing the law and a co-founder of the Justice Without Exclusion Coalition, told me. (Heastie has said that he did not bring the bill to a vote because it lacked enough support among his chamber’s Democrats.)

Assembly member Latrice Walker is another champion of criminal justice reform; she even did a hunger strike in 2023 to protest rollbacks to the bail reform law. She spoke out about her concerns about the voluntary intoxication bill earlier this year, telling the New York Times that while she wanted survivors to get justice, she was “cautious about the creation of new laws and our duty to preserve due process protections.”

Zipkin and other advocates have also pointed to the six DSA-affiliated members of the assembly, who are associated with a general skepticism about the criminal justice system and incarceration, as a potential obstacle. None are currently listed as cosponsors of the bill. Back when Zohran Mamdani was in the assembly, he too declined to sign on, advocates noted. 

The DSA as an organization is very critical toward the police and prison system; many DSA members have called for defunding or abolishing the police in the past, and the DSA’s national platform still holds out “fully abolishing the police and prison system” as a long-term goal.

These objections may be harder to maintain amidst a wave of outrage around the Cornell case. Speaker Heastie announced he was creating a working group to reexamine the voluntary intoxication issue. The group includes Walker, whose office told Vox she would not comment on the law while “they undertake their important work.” Heastie told the group to give him recommendations by the end of the year, for consideration in New York’s 2027 legislative session. 

Is this a bigger divide among progressives?

The divide is coming into public view due to national attention on the Cornell case — but it’s long predated the current moment. 

Back in 2016, a California judge gave Brock Turner, a Stanford swimmer convicted of sexually assaulting an unconscious woman behind a dumpster, a six-month jail sentence. Advocates for victims’ rights were furious at what they deemed an inexcusably lenient punishment; nationwide outrage and an ultimately successful campaign to recall the judge ensued. 

But some progressive supporters of criminal justice reform felt queasy about the idea of punishing a judge for not locking up a defendant long enough. Skeptical of the criminal justice system and the value of incarceration, they worried this public fury would incentivize judges to be harsher across the board.

“What ultimately will happen is that the people that we represent — people of color, minorities, the disenfranchised, the poor in our communities that make up the people ensnared in our criminal justice system — they’re the ones that are going to bear the cost of this recall,” Sajid Khan, a public defender in Santa Clara County, California, said in 2018.

In practice, these two groups of advocates have generally managed to coexist in the progressive coalition. That’s in part because the Me Too cases that get the most attention have tended to be from white-collar work environments or college campuses, rather than in the dispossessed or marginalized populations that criminal justice reformers are more typically focused on.

But some argue that there’s a more fundamental tension here. Aya Gruber, a professor at the USC Gould School of Law, has written a book arguing that feminists’ efforts to ensure rape and domestic violence are punished more severely have, in practice, ended up contributing to racist mass incarceration. 

“I just think it is a really dangerous thing to start expanding the criminal law in ways that grant all this power to prosecutors,” Gruber told me. “This idea that somehow all this cultural power is going to be used against already privileged people and thus have some sort of egalitarian aspect to it makes it very tempting. But we can identify populations that are more heavily policed, and they are generally not privileged populations.”

Russia released a US prisoner. What did they get out of it?

22 October 2026 at 01:25
Donald Trump, wearing a suit and tie, speaks into a microphone in front of a backdrop of American flags.
Donald Trump speaks during an RNC fundraising event at Mar-a-Lago on October 16, 2026. | Eric Lee/Getty Images

This story appeared in The Logoff, a daily newsletter that helps you stay informed about the Trump administration without letting political news take over your life. Subscribe here.

Welcome to The Logoff: President Donald Trump is cozying up to Russia again. 

What’s happening? On Wednesday, Russia released an American prisoner, 74-year-old retired teacher Stephen Hubbard, back to the US. The US, Trump said in a social media post, “out of respect for President Trump, was not required to give anything in return.” 

Hubbard’s release is unquestionably good news. But Trump is wrong: In just the last month, his administration has delivered for Russia in more ways than one, often inexplicably and despite bipartisan condemnation. 

What is Trump doing for Russia? Late last week, he waived upcoming economic sanctions on Russia that he had only recently signed into law after they passed Congress with overwhelming bipartisan support. He also: 

  • Struck a diesel deal with Russia, temporarily lifting fuel sanctions on the country in exchange for Russia releasing a trivial amount of diesel into the global market; 
  • Announced — seemingly without talking to either party — a Russia-Ukraine “energy ceasefire” favorable to Russia (which has since fallen apart); 
  • Temporarily interrupted US intel sharing with Ukraine and played a role in interfering with Ukraine’s access to Starlink, which helps power the country’s drone warfare against Russia; and 
  • Called on Ukrainian President Volodymyr Zelenskyy to be replaced.

Last month, Trump also invited Russian President Vladimir Putin to the annual G20 summit later this year, which would mark Putin’s first appearance since 2019.

What does Trump get out of all of this? There’s Hubbard’s release, but taking that on Trump’s own terms (muddled though they are), the US didn’t give anything to secure it — which means that all of those favors have amounted to not much at all, other than papering over Russia’s role as an international bad actor and breaking with US allies in Europe. 

Why does this matter? Trump’s Russia embrace comes at an awful time for Ukraine, which, as the New York Times reported earlier this month, is facing a Russian campaign to “freeze Ukrainians into submission” as winter approaches. Nevertheless, on Wednesday, Trump envoy Steve Witkoff called Putin a “humanitarian.”

And with that, it’s time to log off…

I was delighted to learn about the US’s new national park yesterday, its 64th. Chiricahua National Park — until Tuesday, only a national monument — is the first new park in six years. Located in southeastern Arizona, it’s also called the “Wonderland of Rocks,” according to the Washington Post; you can read more about it here with a gift link. 

Have a great evening, and we’ll see you back here tomorrow!

'We Now Deserve to Lose': Ramaswamy Ad Deepens GOP Panic in Ohio

22 October 2026 at 00:03

The fierce and bipartisan backlash to gubernatorial candidate Vivek Ramaswamy's decision to feature his opponent's estranged mother in an ad left Republicans in Ohio and Washington reeling on Wednesday, as both Ramaswamy and Vice President J.D. Vance doubled down on the divisive strategy.

Publicly, Republicans were mounting a defense, led by Vance, who is from Ohio and was campaigning in Cincinnati on Wednesday, treating the ad as a game-changing October surprise. On Thursday, President Trump joined in, saying in a social media post that Ramaswamy should keep the ad running and "let everyone listen to the mother of a defective, dishonest, and incapable Candidate, explain how the daughter is a DISASTER who, uncontrollably, lies, cheats, and steals!"

But privately, old-guard Republicans were baffled that Ramaswamy would dare to deploy Democratic nominee Amy Acton’s own mother, who has not spoken to her daughter since 1978 when she defended Acton’s stepfather who was indicted for raping Acton as a child. Some predicted the ad was likely to draw more empathy and interest in Acton from voters, and turn them away from Ramaswamy. 

“We’ve lost the plot,” says one Republican strategist. “We had a real good chance and then we do this two weeks out.”

Adds a second: “We now deserve to lose this race.”

The addition of this ad so close to Election Day roiled races in Ohio up and down the ballot. “I would not have run that ad,” Republican Sen. Jon Husted, running in a tight and expensive race for re-election against Sherrod Brown in Ohio, told The Associated Press on Wednesday. Other players in the state's Republican circles say the ad has all the pieces of a misfire, especially among women.

Recent polls have shown Acton leading but not running away with the race. A Marist University poll released this week showed her up seven points. But Ohio is a state where President Donald Trump won three times, never with fewer than eight points to spare. If elected, Acton would be the first Democrat to become Governor since 2007.

Ramaswamy’s campaign said it was putting $4 million into making sure the ad gets seen, with a goal of targeting persuadable voters still undecided between the billionaire entrepreneur and Acton, the former state health chief who steered Ohio through the pandemic. But the risk of it backfiring is incredibly high with no time to recover.

Ramaswamy’s campaign includes several operatives who previously worked for Vance, who sidestepped questions about the ad’s message on Wednesday as he urged  Republicans to not allow such hard-nosed messaging to distract them from the stakes of the election. “I’m a little bit disgusted when I see Republicans across the country who are whining more about that advertisement than they are about what the congressional Democrats and other Democrats want to do to the United States of America,” he told reporters. “So I would say to Ohio Republicans: do you actually think that Amy Acton is unfit to serve as Governor of the state of Ohio? I do.”

By Wednesday afternoon, it was clear Vance might be in a decided minority. “I don’t have to agree with Amy Acton’s politics to believe that exploiting someone’s childhood trauma is wrong,” wrote Republican Lydia Mihalik, a member of Ohio Gov. Mike DeWine’s Cabinet. On Thursday morning, DeWine himself joined in the pile on, telling reporters at the Statehouse in Columbus that the ad was “deeply, deeply troubling" and urging Ramaswamy's campaign to take it down, The Associated Press reported.

Mike Murphy, a strategist who was in Sen. John McCain’s inner circle when he ran for President in 2000 and headed Gov. Jeb Bush’s super PAC in 2016, wrote a brutal assessment of the ad on social media, saying it “is looking more and more like political suicide.”

And former South Carolina Gov. Nikki Haley, who ran against Ramaswamy in the 2020 presidential primaries and was a frequent critic of him, was even more direct. “He’s a bad guy,” she said. “It’s a shame he continues to get away with it.”

In an editorial endorsement of Acton published Wednesday, The Columbus Dispatch roundly condemned the video: “It should go without saying that sexual violence against children should not be politicized or taken as lightly as Ramaswamy appears to take it.”

For its part, Acton’s campaign began an ad of its own calling out Ramaswamy’s effort to make her childhood a campaign issue after a half century in the past. 

"I received a lot of abuse, but Amy always got the worst of it,” Acton’s brother, Phil Stearns, says in a new 30-second ad released Wednesday. “She continued to receive that abuse because she knew she had to protect me from that, and if she hadn't done that, who knows where I would have ended up.” 

"She was 11- and 12-years-old, and to think that that's somehow a talking point—shame on Vivek,” Stearns continues. “The contempt he has for Amy is the contempt he has for Ohio. He's not fit to lead."

Ahead of Midterms, Elena Kagan Says the Supreme Court Is Undermining Voting Rights

21 October 2026 at 23:59
Elena Kagan, associate justice of the U.S. Supreme Court, attends a House Appropriations Subcommittee on Financial Services and General Government hearing in Washington, D.C., on July 14, 2026. —Aaron Schwartz—Bloomberg via Getty Images

Liberal Justice Elena Kagan has accused the Supreme Court’s conservative majority of undermining democracy and creating a more polarized electorate through a series of key rulings that have affected the nature of elections ahead of the midterms. 

“The court has kind of blinded itself to the very deleterious effect of their rulings on how the political system works,” Kagan said while speaking to students and faculty at Catholic University’s law school in Washington, D.C., on Tuesday.

She went on to say that the conservative justices have “created a democracy that does not work as well as it should.” 

Kagan—who was nominated to the bench in 2010 by President Barack Obama—referenced specific rulings that have had a large impact on electoral maps, campaign finance, and executive authority. Experts tell TIME that these rulings have affected the midterm elections and could, in turn, change the fate of Congress.  

Read More: Midterm Ad Spending Has Surpassed $10B. Where Is the Money Coming From?

“It's no exaggeration to say that the form of our elections and democracy owes a great deal to the decisions of the Supreme Court, sometimes overruling the will of Congress,” says Rick Hasen, a professor at the University of California, Los Angeles law school and the director of its Safeguarding Democracy Project. 

In fact, he believes Kagan’s remarks do not go far enough in their criticism. 

“You're going to hear more voices calling for the Supreme Court to be changed, either by adding more justices, putting in term limits, or doing other things,” he says. 

The outcome of the midterm elections might have some influence on these issues going forward, though there are limits to what Congress can accomplish regardless of who controls the majority in the years ahead.

How Supreme Court rulings may affect the 2026 midterms

Kagan’s comments outline how the high court’s rulings have impacted this year’s elections. 

She pointed to Louisiana v. Callais, which concerned whether Louisiana had to draw a second congressional district where Black voters made up a majority—giving them a greater chance to elect their preferred candidate. In April, the Supreme Court struck down that map and made it harder to challenge maps that weaken minority voters’ influence. Kagan called the ruling an “evisceration” of the 1965 Voting Rights Act.

Following the decision, many Republican-led states proposed redrawn voting maps that favored their candidates and weakened Black voters’ electoral influence.   

Read More: Supreme Court Ruling Weakens Major Provision of Voting Rights Act

Hasen says that Americans are already facing the fallout. He pointed to Louisiana and Alabama, each of which eliminated a district where Black voters could elect their candidates of choice.

“We'll see much more of that in the next few election cycles,” Hasen predicts, calling the decision “the worst election law decision in 100 years at the Supreme Court.”

Kagan also mentioned a 2019 decision in Rucho v. Common Cause that prevents federal courts from blocking electoral maps on the grounds that they unfairly favor one party. States including Texas, North Carolina, Ohio, and Florida have since adopted new congressional maps that could help Republicans win additional House seats in November.

This gerrymandering, Kagan said, strips people of “their rights to voting equality” and has resulted in “driving people away from the center, toward the wings, toward the extremes.” The outcome, she said, is contributing toward what’s already a “too-polarized country.” 

She added that these redrawn maps are “very destructive to our democracy.” 

How campaign finance rules may come into play ahead of Election Day

In her speech, Kagan also highlighted the role that money increasingly plays in politics.

“The people of America look around this political system and think that all this money chasing all these political candidates is a nightmare, and they’re right,” Kagan said.

A 6-3 ruling split along ideological lines from June in National Republican Senatorial Committee v. FEC removed limits on how much political parties can spend in coordination with their candidates, including on television advertisements. 

Her comments come amid what is projected to be the most expensive election cycle in history. 

Billionaires have poured hundreds of millions into super political action committees (super PACs) for campaign ads—chiefly supporting Republican candidates in tight Senate races. 

How the court has expanded presidential powers

Supreme Court rulings have also influenced the scope of presidential power.

Kagan also criticized the court’s decision in Trump v. Slaughter. In June, justices struck down protections against firing Federal Trade Commission commissioners without cause, expanding presidential control over independent agencies. 

“The danger is it allows the president to ride roughshod over all the institutions of government,” Kagan said.

Aziz Huq, a professor at the University of Chicago law school and a co-author of How to Save a Constitutional Democracy, tells TIME that “the misuse or the use of prosecutorial discretion at the direction of the president against political foes … flows from the court’s ruling” in Slaughter.

Furthermore, Huq says, it expands “the scope of presidential directive authority over subordinates.” 

Huq pointed to the Trump Administration’s investigation into Somali-born Democratic Rep. Ilhan Omar of Minnesota as an example of how greater presidential control over executive officials can be used against political opponents.

What Congress can do to check the Supreme Court

Even if Democrats regain control of Congress in November, Trump could veto legislation seeking to counteract the court’s decisions. Overriding him would require two-thirds support in both chambers.

As a result, Hasen says it could take until 2029 “at the earliest,” when a new president enters the White House, for there to be a counteractive response to the high court’s conservative majority. 

There are measures Congress and states can take in the meantime, he continues, saying that Congress has the ability to enact a nationwide law that would restrict partisan gerrymandering of House maps. 

Chief Justice John Roberts acknowledges that authority in his ruling in Rucho.

“As noted, the Framers gave Congress the power to do something about partisan gerrymandering in the Elections Clause,” Roberts wrote, referring to the 55 delegates who in 1787 met to draft the U.S. Constitution. “That avenue … remains open.” 

When it comes to Callais, Hasen says lawmakers could attempt to amend the Voting Rights Act, and restore protections narrowed by the ruling, by forcing the Supreme Court “to decide some of the constitutional questions that they ducked” during the original case. 

But any new legislation could face a legal challenge, leaving the Supreme Court to decide whether it can stand.

Those hoping to challenge the highest court’s composition or jurisdiction may go about that in a few ways, such as by petitioning for term limits. Proposals include limiting justices’ active service through legislation—an approach whose constitutionality is disputed—or through a constitutional amendment. Another route is to limit which cases the court can hear. 

Complicating matters, Huq says, is that legislative reforms could ultimately come before the Supreme Court, whose methods of interpreting the law leave the justices largely unconstrained in reaching their preferred outcomes.

“Almost all of these proposals are going to fail because the court will strike them down or find ways to undermine them,” Huq says. “We're at a very difficult and perilous point.”

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