Caitlin Owens and Sara Fischer of Axios have a piece up looking at issue-based political spending on advertising. It’s not surprising that health care leads the list, but it’s jarring to see how much health care is dominating.

So far in 2019, $65.3 million has been spent on health care-based advocacy, which is more than double what has been spent on any other issue. By contrast, only $495,000 has been spent on abortion and criminal justice reform. Second place belongs to energy-related issues, for which $19.1 million has been spent.

Between the lines: Most of the top health care spenders are focused on issues like surprise medical bills and drug prices — many of which would cut into the health care industry’s profits.

Where it stands: The biggest spender by far is a dark-money group called Doctor Patient Unity.

      • It has shelled out more than $26 million on ads opposing Congress’ plan to address surprise medical bills. Doctors and hospitals staunchly oppose the leading proposal because it would cost them money.
      • AARP and the Partnership for Safe Medicines, an industry group, are on opposite sides of the intense battle over drug prices, which will heat up further this fall…
      • One of the top 5 health spenders is One Nation, which is running anti-Medicare for All ads.
      • There aren’t any pro-Medicare for All groups in the top 5, nor are there any groups running ads explicitly on the benefits of the ACA.

As you can see, while the left is sleeping, the other side is organized and quite active. The pro-Medicare for All groups probably don’t have the funds needed to spend much on advertising which is likely a third-tier priority for them after field work, voter contact and working (however surreptitiously) on behalf of allied presidential contenders on the Democratic side.

But notice that no one is spending money to promote the benefits of Obamacare. The AARP is engaged in lobbying Congress over drug pricing legislation. but that seems to make up the bulk of pro-consumer spending. Doctors and hospitals are going to win out against patients because they’re in the fight while their opponents are underfunded and distracted.

Overall, health care issues strongly favor the Democrats, and the public supports efforts to reduce the cost of prescription drugs and stamp out surprise medical bills. But that support is less that it could be and at risk of being reduced by a flood of money.