Many readers no doubt take comfort in living thousands of miles away from the tax and spending misadventures of Illinois or Connecticut. But fair warning: One of the worst deals in state spending is coming to a red state near you, and that’s expanding Medicaid to adult men above the poverty line. The perversity of spending more on childless men than pregnant women is reason enough to reject expansion, but there are others. Every state that has expanded Medicaid has blown the budget by spending more money on more people. The cost overruns are more than double on average.

The administration is proposing a regulation that would create a new way for employers to provide health coverage for employees. This proposal would give millions of workers and their families more control over their health care. It also holds the promise of more-efficient health-care spending, expanded business growth, and higher wages.

The proposed regulation seeks to accomplish this by expanding Health Reimbursement Arrangements. HRAs provide employer-funded reimbursements, which employees can use for health-care expenses. Reimbursements under an HRA do not count as taxable income.

Many Republicans, who swept to recent electoral victories by vowing to topple the ACA, are urgently seeking to reassure voters they want to save these protections. Mr. Rohrabacher says he is “taking on both parties” in an effort to do so; his challenger says the congressman is “falling all over himself to scrub his records on health care.”

Such fights are leading to sometimes bitter races across the country involving the ACA, enacted in 2010 under President Obama.

By the narrowest of margins, the U.S. Senate rejected legislation Wednesday that would have subjected patients with expensive illnesses to soaring premiums, canceled coverage and medical bankruptcy. You might expect such legislation to have been introduced by Republicans and defeated by Democrats, but you’d be wrong. Democrats sought to deny care to the sick. Republicans stopped them.

For political professionals, one of the most bizarre aspects of this bizarre era is the speed at which Vermont socialist Sen. Bernie Sanders has gone from near irrelevance as the Senate’s resident kook to the most influential policy maker in one of America’s two major political parties. Now comes the moment when Democrats who have largely adopted Sanders positions may have to explain them to voters.

The average cost of employer health coverage offered to workers rose to nearly $20,000 for a family plan this year, according to a new survey, capping years of increases that experts said are chiefly tied to rising prices paid for health services.

Annual premiums rose 5% to $19,616 for an employer-provided family plan in 2018, according to the yearly poll of employers by the nonprofit Kaiser Family Foundation. Employers, seeking to blunt the cost of premiums, also continued to boost the deductibles that workers must pay out of their pockets before insurance kicks in

As Democrats enter the final sprint in a campaign where health care is a dominant issue and a House takeover seems achievable, they are split on whether to promise coverage for everyone, which would fuel an already revved-up liberal base, or target centrist voters by campaigning on the more modest goal of fixing the Obama-era health law.

No one wants to sit in an exam room while the doctor spends precious minutes entering billing information into an electronic health record. But frustrations like this don’t mean we should give up on technology’s potential to improve health outcomes. The data collected by a new generation of digital health products—including smart watches, smartphones and fitness trackers—could help the medical community learn about treatments that might work for a patient like you, and which ones to avoid. The first step is enabling them to stream data wirelessly to your doctor’s EHR.

The pre-existing-conditions offensive against the GOP is based on its votes to repeal ObamaCare. But the truth is that every Republican in Congress who voted for repeal also voted to require states to provide protections for people with pre-existing conditions. The GOP approach was to let each state figure out how best to accomplish this under a federal system that worked better than the Affordable Care Act. Republicans trusted leaders in state capitals to do better than Washington for the people of their states.

The Trump administration is close to issuing a new rule that could effectively ban rebate payments from drug manufacturers to pharmaceutical benefit managers, or PBMs. The plan is misguided. A full ban would backfire and increase costs to consumers.

The regulation, now under review at the Office of Management and Budget, could remove the safe-harbor protection for rebate payments under an anti-kickback law. But rebates are price discounts, not kickbacks. They reduce prices based on sales volume: Drug companies charge less when more of their drugs are sold to patients.