FOR NEARLY four decades, I’ve been fighting at the state, regional and national levels to guarantee Americans’ access to health care.

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Few pieces of legislation have been as monumental as the Affordable Care Act, passed in 2010 by President Obama and Vice President Biden. Few pieces of legislation have brought such positive, sweeping change to so many millions of Americans and Granite Staters. And few pieces of legislation have moved us so close to achieving our ultimate goal of universal health-care coverage.

More than 60,000 Granite Staters are covered today, thanks to the ACA. Preventive care like flu shots or cancer screenings are now free.

Tens of thousands of seniors are saving an average of more than $1,100 a year on prescription drugs.

And more than a half-million Granite Staters can no longer be denied coverage because of a pre-existing condition like asthma or diabetes — a critical protection that Republicans across the country are still working to strip away.

The ACA also allowed New Hampshire to expand Medicaid in 2014, covering more than 50,000 Granite Staters who hadn’t previously qualified for coverage. That, along with the ACA requirement that health insurers cover mental-health care, has given tens of thousands of Granite Staters access to substance-misuse treatment and mental-health care services — essential tools in our fight against opioids.

Simply put, the ACA has brought hope and peace of mind to tens of thousands of Granite Staters who no longer have to choose between putting a meal on the table or paying their medical bills.

There is still work to be done to extend those benefits further; but to move forward, we simply can’t afford to scrap all those gains in order to start over with a Medicare for All system.

For starters, any change that dramatic would create chaos in an area of peoples’ lives with no room for uncertainty: health care. There’s no reason to tear down a system that is working for most Granite State families. Instead, we should build on and expand the ACA to cover more people.

It also doesn’t make sense to eliminate private insurance, which so many union families have bargained for and rely on. Why force them to give up what they’ve earned?

Joe Biden has a plan to bridge that divide — to expand coverage while giving people a choice between a public or private insurer.

It’s affordable, it’s attainable and it’s the right way to finish the job.

Biden’s plan builds on the ACA by introducing a public option, which would make quality care attainable for millions of people who today can’t afford it and aren’t getting the help they need.

That means that Granite State families still struggling to pay their premiums could enroll in a Medicare-like public plan, which would reduce costs for patients by negotiating lower prices from health-care providers. No one in New Hampshire would spend more than 8.5% of their income on health insurance. Small businesses would have a more affordable way to insure employees and rural hospitals would get the resources they need to survive.

Policy jargon aside, Biden’s plan is the quickest way to give every American an affordable health-insurance option, and it’d do so at one-thirtieth the cost of Medicare for All.

It will bring us closer than we’ve ever been to universal coverage and put us on a firm path to meeting that goal as a nation — without plunging Granite Staters’ lives into chaos.

Let’s elect the candidate who can lead this journey to a successful conclusion: Let’s elect Joe Biden.

Ned Helms of Concord is a former commissioner of Health and Human Services for the state of New Hampshire.

Friday, July 10, 2020

Today’s racial turmoil, which was detonated by a Minneapolis instance of lethal police behavior toward an African American, is more serious than any since 1992. Then, after the verdict exonerating the police who beat an African American, Rodney King, six days of rioting engulfed a swath of L…

Wednesday, July 08, 2020

WHEN I heard that the statue of Stonewall Jackson had been pulled down in Richmond, I wondered why it was in Richmond when Stonewall was from North Carolina and made his career in Nashville, then I remembered that in addition to the country singer, there had been a Confederate general.

Sunday, July 05, 2020
Friday, July 03, 2020

THE BEAUTY of quarantine is that you don’t have to see people you don’t want to see, which simplifies life, just as memory loss does. Life comes down to basics. Sleeping, eating, talking, reading, writing, cooking, doing your business. Days are so quiet that a cup of ginger tea might be a hi…

Wednesday, July 01, 2020

NOW that statues of Presidents Washington, Jefferson, Jackson, Lincoln, Grant and Theodore Roosevelt have been desecrated, vandalized, toppled and smashed, it appears Woodrow Wilson’s time has come. The cultural revolution has come to the Ivy League. Though Wilson attended Princeton as an un…

Sunday, June 28, 2020
Friday, June 26, 2020

MY ADVICE to you, young people, is to start asking questions of your elders about family history and who did what when and why and don’t stop until you get answers because, though you’re much too cool to be interested in family history now, someday you’ll want to know these things and by tha…

Sunday, June 21, 2020

“POLICING itself started out as slave patrols. We know that,” Rep. James Clyburn (D-SC) declared in an interview with Fox News’ Bret Baier. Clyburn, the House majority whip, is the third highest ranking Democrat in Congress. He’s widely respected. And he’s wrong. Or, to be more generous, he’…

Friday, June 19, 2020

I’VE NOW spent three months in a Manhattan apartment with my wife and daughter, a life that is not so different from, say, living in a lighthouse in the Orkneys. We can see tall buildings, some bright lights, helicopters overhead, but it’s not the New York high life I dreamed of growing up i…

Saturday, June 13, 2020

In these trying times, it’s difficult to find something to smile about. But I’ve found some modicum of mirth watching very sympathetic liberals go the extra mile to help hone the message of activists calling to “defund the police.” For instance, Katy Tur, an MSNBC anchor, had Isaac Bryan, th…