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As the PER thread’s resident American poster, and as someone who works and lives in Washington DC in the public policy and political space, the chances of Kamala Harris passing Medicare for All in her first term are nil. She might win the presidency, but it is quite likely the Republicans will either retain the House or win the Senate (or both). As long as Republicans control at least one chamber of Congress, the chances of Medicare for All passing are zero. Even if the Dems win a narrow majority in both chambers, it is still unlikely anything gets through, as moderate Dems will not want to support what many Americans view as radical policy.

While she may get some stuff passed on reducing price gouging on some prescription drugs, particularly older drugs like insulin and antibiotics, I think the chances of her limiting pricing on novel rare disease drugs is quite low. The Pharma lobby is quite powerful in DC.