A no bullshit non-partisan comparison of political candidates
Aggregate score
Cornyn 5.1Talarico 6.1 T +1.0

Care for Aging / Sick

John Cornyn (R)

Cornyn co-sponsored the Improving Care Coordination for Medicare Advantage Beneficiaries Act and has championed Older Americans Act reauthorization and the Lifespan Respite Care caregiver-support program funding. He supports Medicare Advantage expansion as the preferred private-sector alternative to public-option proposals and has consistently voted against converting Medicare into a public option. He has been a primary author of rural-hospital relief legislation targeting Texas closures and supports the rural emergency hospital designation funding. He opposes Social Security tax-cap elimination but has not signed onto direct benefit cuts and has supported solvency frameworks raising the retirement age gradually. He has voted against every recent Medicaid expansion proposal and supports converting Medicaid to a block-grant framework giving states more flexibility — and less federal funding growth.

James Talarico (D)

Talarico would let every American join Medicare regardless of age as an affordable not-for-profit public option. He would protect Social Security from cuts and eliminate the tax cap above $400K, expand the Older Americans Act for home- and community-based eldercare, and develop a high-quality elder-care workforce. He would save rural hospitals through better Medicare/Medicaid reimbursement, regulate PBMs and prior authorization, and ban medical debt on credit reports. He opposes VA privatization and would expand veterans' mental health services. In Texas he capped insulin co-pays at $25/month, authored the Canadian drug-import law, established a prescription drug savings program for uninsured Texans, and voted for the 'thirteenth check' supplemental retirement payment for retired teachers.

Sources

  1. Sen. John Cornyn, official Senate website and 2026 re-election campaign issues page, accessed May 2026 (cornyn.senate.gov; johncornyn.com). (full list)
  2. Talarico for Texas, official campaign issues pages (taxes, education, healthcare, immigration, social media/AI, freedom-family-faith, public-safety-justice, corruption-democracy, labor-business), accessed May 2026. (full list)
  3. Cornyn votes on ACA repeal-and-replace (2017 skinny repeal, BCRA, Graham-Cassidy); Cornyn as co-sponsor of Health Savings Account expansion; statements on Medicare/Medicaid block grants; opposition to enhanced premium tax credit extension (2025). (full list)