According to the (subscription-only) Wall Street Journal today, the Bush administration quietly announced that the premiums Medicare beneficiaries pay for doctor’s visits and other outpatient care are expected to jump 12 percent next year. And that number could ultimately drift up towards the 17 percent increase that was imposed this year if Congress, as expected, boosts Medicare payments to physicians to keep them from abandoning the program. Administration officials are said to hope the impact of this premium spiral will be cushioned by the advent of the new Rx drug benefit next year. But there’s a catch, of course: most beneficiaries will have to pay additional premiums to get that coverage, which is itself pretty limited. Does the administration have a plan to deal with the growing Medicare crisis? Of course not. That would involve admitting the GOP didn’t “fix” Medicare two years ago, and might also distract attention from the administration’s relentless drive to gain acceptance for a “plan” that’s not really a plan, to deal with a Social Security “crisis” that’s not really a crisis. And these guys sure wouldn’t interrupt themselves from one mistake to admit another.
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Editor’s Corner
By Ed Kilgore
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November 5: A Big Off-Year Win for Democrats With Big Implications
After a long evening of election watching on November 4, I offered this happy take at New York:
Last November, Donald Trump recaptured the presidency and helped his party gain control of both chambers of Congress. He and his MAGA backers heralded it as the beginning of a realignment that would give the GOP a long-standing majority and give the president a popular mandate to do many unprecedented and unspeakable things. Democrats largely believed this spin and fell into mutual recriminations and despair.
Just a year later, everything’s looking different.
Democrats swept the 2025 elections in almost every competitive venue. They flipped the governorship of Virginia and held onto the governorship of New Jersey, in each instance crushing their Republican opponents. In New York City, Zohran Mamdani won easily on a wave of high turnout and voter excitement. At the same time, Democrats stopped efforts to purge their judges in Pennsylvania and rig voting rules in Maine. One of their most vulnerable candidates, Virginia attorney-general nominee Jay Jones, beset by a text-message scandal involving violent fantasies about Republicans, won anyway. Everywhere you look, the allegedly unbeatable Trump legacy is, well, taking a beating. The tide even flowed down to Georgia, where Democrats won two statewide special elections, flipping two seats on the utility-rate-setting Public Service Commission.
Exit polls show that those elements of the electorate where Trump made startling gains in 2024 are now running away from him and from the GOP. In Virginia, Abigail Spanberger is winning 67 percent of under-30 voters, 64 percent of Latino voters, 61 percent of Asian American voters, and 90 percent of Black voters. Up in New Jersey, Mikie Sherrill is winning under-30 voters by better than 2-1, Latinos by exactly 2-1, Black voters by better than 10-1, and Asian American voters by better than 4-1. She’s also winning 90 percent of Black men and 57 percent of Latino men. These are also demographic groups that have begun turning their back on Trump in job-approval polls. And Trump got another very direct spanking as Californians overwhelmingly approved Prop 50, a measure to gerrymander the state to give Democrats more seats, meant to retaliate against Trump’s earlier power grabs. There, too, the issue became entirely a referendum on the turbulent president.
Some MAGA folk will argue Trump can’t be blamed because he wasn’t on any ballot. But Republicans everywhere embraced him fiercely and counted on his assistance to win the day. And no major party has ever so completely turned itself into a cult of personality for its leader, or been so eager to give him total power. Trump’s domination of political discourse throughout 2025 — right up until this week, when he’s rejected any compromises with Democrats in a gridlocked Washington, D.C. — means the election is inescapably a setback that bids ill for his efforts to maintain total control of the federal government in the midterms next year. Democrats may finally turn to the future rather than the past, the struggles for the party’s soul forgotten for a while.
We’ll soon see if Mamdani can redeem the hope he has instilled in so many discouraged and marginalized voters, and if the women chosen to lead New Jersey and Virginia can cope with rising living costs and terrible treatment from Trump’s administration. The GOP gerrymandering offensive isn’t done, and the Trump-enabling chambers of the Supreme Court could provide new setbacks for those resisting Trump’s creeping authoritarianism. And yes, in 2026 Democrats must more clearly articulate their own agenda while providing running room for different candidates in different parts of the country.
But for now, Trump and his party look far less invincible than before and far more likely to harvest anger and disappointment for his second-term agenda than to build anything like a permanent majority. The opposition can now emerge from the shadow of an especially cursed year and fight back.

