Healthcare has again emerged as a pivotal issue for American voters. Conversations around preexisting conditions protections, short-term health plans, drug costs and premium rates are as contentious as ever. Debates around Medicare and Medicaid have grabbed headlines, while the Affordable Care Act has remained divisive, despite helping millions become insured. Against this backdrop, state governments have forged ahead with their own health policy decisions, adding to the complex tangle of healthcare policies in the country. This Forum panel explored what’s at stake in the 2018 midterm elections for Americans and their healthcare future. This Forum event was presented jointly with Reuters November 1, 2018. Watch the entire series: https://theforum.sph.harvard.edu/