I agree with Ezra Klein [“A high-stakes election: Health care at risk,” Oct. 27] that the fate of universal health care will be one of the election’s most important results. What is remarkable, though, is how little either campaign has talked about this. While health care is a major issue, it is generally discussed in terms of reining in costs and the budget deficit. The same was true during the struggle to pass Obamacare; extending coverage was something President Obama almost always glossed over. What we have is a law called the “Affordable Care Act,” rather than the “Universal Coverage Act.” Although a central aim of the Democratic Party for decades, providing health care to tens of millions of people who otherwise could not afford it is one of the unmentionables in American politics, along with climate change and gun control.

George Klosko, Charlottesville