As the November election approaches, the nation again nears a crossroads on healthcare, with candidates diverging on a basic question of equity: who is to bear the risks and costs of care? For Donald Trump, his congressional allies, and conservative policy analysts, the answer is clear: cut government spending and shift the risks and costs back onto individuals, employers, and states. For Kamala Harris, the priorities move in a strikingly different direction: expand access to healthcare, strengthening the federal government’s role in guaranteeing health care for all Americans, no matter what their socio-economic status may be.