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WASHINGTON, D.C. — Sen. Bernie Sanders is urging Democrats to use their sweeping midterm victory to revive Medicare for All, arguing that voters expect the party to deliver major changes on health care and affordability rather than simply oppose President Donald Trump.

Sanders, an independent who caucuses with Democrats, said the party should move beyond defending the existing system and pursue universal health coverage through a single-payer program. His proposal would expand Medicare to all Americans while eliminating premiums, deductibles and most out-of-pocket costs.

The push comes as Democrats debate what mandate voters gave them after taking control of both the House and Senate. Party leaders have emphasized more immediate goals, including reversing Medicaid cuts, extending Affordable Care Act subsidies and lowering prescription-drug and household costs. Progressives, however, argue the results justify a broader economic agenda.

Sanders has pointed to recent research estimating that a Medicare for All system could reduce overall U.S. health spending by more than $1 trillion annually, though the proposal remains politically divisive and would require a fundamental restructuring of how Americans receive health insurance.

Even before the election, Sanders acknowledged that Medicare for All did not have majority support within the Democratic Senate caucus. That means the party’s new congressional majorities do not automatically translate into enough votes to enact it.

The debate is likely to become one of the clearest tests of how aggressively Democrats use their new power in Washington.

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