We are having the wrong conversation on healthcare.

Instead of addressing the underlying problems driving unaffordability and access, we Democrats are spending all our time arguing over who is the most zealous in wanting to cover Americans. Over who has wanted to do so longer. Over who cares more about the health of Americans.

We talk about how we’re going to pay for it, but the reality is we’re already paying for it. We pay for it when we can’t switch jobs. We pay for it when new jobs are temp or gig jobs that don’t provide healthcare. We pay for it when all of our prices are higher. We pay for it when healthcare costs drive us into bankruptcy.

To be clear, I support the spirit of Medicare for All, and have since the first day of this campaign. I do believe that swiftly reformatting 18% of our economy and eliminating private insurance for millions of Americans is not a realistic strategy, so we need to provide a new way forward on healthcare for all Americans.

As Democrats, we all believe in healthcare as a human right. We all want to make sure there is universal affordable coverage. We know we have a broken healthcare system where Americans spend more money on healthcare to worse results. But, we are spending too much time fighting over the differences between Medicare for All, “Medicare for All Who Want It,” and ACA expansion when we should be focusing on the biggest problems that are driving up costs and taking lives.

We need to be laser focused on how to bring the costs of coverage down by solving the root problems plaguing the American healthcare system.

That means controlling the cost of prescription drugs. That means investing in innovative technology to cut waste and boost access. That means changing the incentive structure for providers. That means shifting our focus on more stages of care. That means revamping what comprehensive care means in the 21st century to include crucial aspects of wellbeing. That means taking on the powerful lobbyists in D.C.

Diagnosing and addressing these underlying problems is the first and most important step in ensuring everyone has access to healthcare, because we cannot extend quality coverage to everyone without real strategies on how to avoid the toxic incentives of our current system. We can’t afford to mess this up.

Fundamentally, we need to have a more productive conversation about healthcare in America. It’s time to take a step back from enrollment mechanisms and creative accounting to focus on lowering costs and improving quality.

My full plan for a New Way Forward for Healthcare in America is a statement on the critical failings of our system and viable paths to solve them. We cannot find the answers to one of the most serious problems in modern American history unless we are asking the right questions. It’s time we start asking the right questions.