Instead, these moderates — many of whom will face tough reelection bids in 2020 — are pressing their party leaders to work with President Trump and Republicans to deliver to voters back home a bipartisan victory on lowering prescription drug prices and other health efforts rather than focus on an aspirational Medicare for all messaging bill…

“We’ve got extremists who want to shoot the moon. Some policies would be wonderful, but you’re not going to get them out of the Senate and you’re not going to get them out of the White House,” said one House Democrat who represents a district won by Trump in 2016 and who wants the new Congress to tackle drug pricing first.

“It’s messaging versus action. I think we should go for action,” the lawmaker said. “And if we’re going to win as Democrats next time around, we better show that we can govern too. If we are just going to obstruct for the sake of it, that’s not going to help us keep the majority and certainly not going to win us the White House.”