Presumptive Democratic presidential nominee Joe Biden left some progressives perplexed Thursday when he spoke at length about healthcare during a campaign stop in Lancaster, Pennsylvania—making a number of points that would suggest he supports Medicare for All, a proposal he denounced as “unrealistic” throughout the Democratic primary.

Washington Post reporter Jeff Stein noted that Biden mentioned the unemployment crisis that’s grown out of the coronavirus pandemic in his speech, suggesting that the loss of employer-based health coverage has made a powerful case for the federal government to guarantee healthcare to all Americans.

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