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Policy wonks are increasingly pessimistic about Affordable Care Act open enrollment this year, as sign-ups fall further behind last year's pace. What's next for health coverage — in 2018 and beyond? First, Noah Lang of Stride Health joins POLITICO's Dan Diamond to discuss Stride's new partnership with CMS to help workers for Uber, Etsy and other gig economy companies get covered. Then, POLITICO's Adam Cancryn and Alice Miranda Ollstein review the ACA sign-up slowdown, Democrats' tricky policy fight over Medicare for All and why the Supreme Court turned down a chance to weigh in on abortion. REFERENCED ON THE PODCAST Sign-ups on HealthCare.gov are about 10 percent behind last year's pace, according to CMS data released Wednesday. There are many possible culprits. Adam's story on progressives' looming dispute over Medicare for All. Alice's story on the Supreme Court rejecting petitions to hear cases involving Planned Parenthood.