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Democrats are heading toward a new phase in the battle over healthcare as they brace for a tough midterm election cycle.

With the GOP's ObamaCare repeal push largely on ice, Democrats are shifting their focus from defending the Affordable Care Act to pitching their own healthcare ideas.

The long-shot proposals have little chance of passing with Republicans in control of both chambers of Congress and the White House.

But the competing measures could feed into the ongoing fight about the partys future as Democrats search for a path out of the political wilderness.

Establishing a Medicare for All single-payer program will improve the health of the American people and provide substantial financial savings for middle class families. It is the right thing to do. It is the moral thing to do, Sanders wrote in a Guardian op-ed.

Echoing his upstart presidential campaign last year, the Vermont senator is asking supporters to sign up as a citizen co-sponsor of the forthcoming legislation, arguing that its time to wage a moral and political war against a dysfunctional healthcare system.

Sanders put universal healthcare at the center of his bid for the Democratic nomination, and the idea has gained traction amid a progressive resurgence within the party.

Many of Sanderss potential opponentsin a 2020 presidential primary including Democratic Sens. Kamala Harris (Calif.) and Cory BookerCory Anthony BookerBooker: Republicans can't force new healthcare plan 'down our throats' Bill targets lead in schools drinking water Batman v Superman star pushes Cory Booker for president MORE (N.J.) have voiced some support for a government operated healthcare system. Sen. Elizabeth WarrenElizabeth WarrenWarren: Education Dept lawyer may have violated conflict-of-interest laws Congress should think twice on the Israel Anti-Boycott Act Sanders plans to introduce single-payer bill in September MORE (D-Mass.) told The Wall Street Journal that its time for the next step. And the next step is single-payer.

Marissa Barrow, a spokeswoman for the Progressive Change Campaign Committee, said Democrats should embrace a big and bold agenda heading into the next election.

Were looking to make Medicare for all one of the big issues on the campaign trail, she said. We see it as an issue that could help unite the Democratic Party.

But Sanderss Senate colleagues who are running in red states have kept the proposal at arm's length.

Democratic Sens. Joe ManchinJoe ManchinOPINION | 5 ways Democrats can win back power in the states Trump's Democratic tax dilemma Manchin eyed as potential pick for Energy secretary: report MORE (W.Va.), Joe DonnellyJoe DonnellyTrump's Democratic tax dilemma FEC 'reform' a smokescreen to weaponize government against free speech It's time for McConnell to fight with Trump instead of against him MORE (Ind.), Jon TesterJon TesterWhy 'cherry-picking' is the solution to our nations flood insurance disaster Trump signs Veterans Affairs bill at New Jersey golf club It's time for McConnell to fight with Trump instead of against him MORE (Mont.) and Heidi HeitkampHeidi HeitkampTrump's Democratic tax dilemma It's time for McConnell to fight with Trump instead of against him The real litmus test is whether pro-life democrats vote for pro-life legislation MORE (N.D.), as well as Independent Sen. Angus KingAngus Stanley KingSen. King: If Trump fires Mueller, Congress would pass veto-proof special prosecutor statute Senate heading for late night ahead of ObamaCare repeal showdown Overnight Healthcare: Four GOP senators threaten to block 'skinny' repeal | Healthcare groups blast skinny repeal | GOP single-payer amendment fails in Senate MORE (Maine), joined with Republicans to vote against a single-payer amendment from GOP Sen. Steve Daines (Mont.) late last month.

Heitkamp said Congress needs realistic solutions and that Dainess maneuver which was expected to fail was a political stunt.

We need realistic solutions to help fix our healthcare system. ... The decision was made in 2010 to go with a market-based system the question is how we improve the system we have, Heitkamp said in a statement.

Sen. Claire McCaskillClaire McCaskillSenators push for possible FCC enforcement over Lifeline fraud Democrat senator: Trump has elevated Kim Jong-Un to the world stage It's time for McConnell to fight with Trump instead of against him MORE (D-Mo.), who like most Democrats voted present on the GOP amendment, also told constituents she would not support a single-payer proposal.

Im going to disappoint a lot of you. ... I would say if a single-payer came up to a vote right now I would not vote for it, McCaskill, who is up for reelection next year, told constituents during a town hall earlier this year.

McCaskill added she would support allowing individuals who only have one option on the ObamaCare exchanges to buy into Medicare or Medicaid instead.

Democrats face a tough Senate map in 2018, with 10senators running for reelection in states carried by Trump. The nonpartisan Cook Political Report shifted three of those races West Virginia, Indiana and Missouri to toss up and North Dakota from likely D to lean D this week.

A spokesman for Sanders said he didnt yet have an estimate for how many members of the Democratic conferencewould support the forthcoming legislation. One hundred and sixteen House Democrats are backing a separate House bill from Rep. John Conyers (D-Mich.) the first time a majority of the House Democratic Caucus has supported the proposal.

Democratic leadership is trying to walk a fine line in the looming healthcare fight as they balance the competing interests of different wings of the party.

Senate Minority Leader CharlesSchumer (D-N.Y.) has put myriad options, including single payer, on the table.

We're going to look at broader things single payer is one of them, he told ABC News. Medicare for people above 55 is on the table. A buy-in to Medicare is on the table. A buy-in to Medicaid is on the table.

Overall, 33 percent of Americans believe healthcare should be a single payer setup, according to a Pew Research Center poll from late June, compared to 52 percent of Democrats and 64 percent of liberals.

The poll also found that roughly 60 percent believe the government is responsible for making sure all Americans have health insurance.

The coming fight over healthcare is the latest example of a vocal progressive wing trying to flex its muscle and push the Democratic Party to the left in the wake of the 2016 presidential election.

When Sanders introduced a bill to raise the federal minimum wage to $15 a key issue between himself and primary opponent Hillary ClintonHillary Rodham ClintonAssange meets U.S. congressman, vows to prove Russia did not leak him documents High-ranking FBI official leaves Russia probe OPINION | Steve Bannon is Trump's indispensable man don't sacrifice him to the critics MORE 30Democratic senators signed on to the bill, compared to five supporters for a similar bill in 2015.

But red-state incumbents arent the only Democrats worried about embracing single payer.

Sen. Dianne FeinsteinDianne FeinsteinTrump's Democratic tax dilemma Feinstein: Trump immigration policies 'cruel and arbitrary' The Memo: Could Trumps hard line work on North Korea? MORE (D-Calif.) received pushback at a town hall in San Francisco when she said told constituents that she wasnt there on single payer.

Asked if he could support a single-payer system, Sen. Tim KaineTim Kaine Violent white nationalist protests prompt state of emergency in Virginia Republicans will get their comeuppance in New Jersey, Virginia Spicer signs deal with top TV lawyer: report MORE (D-Va.), Clintons vice presidential pick, noted Sanders would be introducing a bill but that he has a different view about what we ought to do.

I want people to have more options, not fewer. ... I would like to explore a circumstance under which there could be a public option, like a Medicare Part E for everybody that you'd have to buy into, Kaine, who is also up for reelection next year, told ABC News earlier this month.

Democratic Sens. Debbie StabenowDebbie StabenowHead of McConnell-backed PAC: We're 'very interested' in Kid Rock Senate campaign Juan Williams: Trump and the new celebrity politics Senate Dems unveil trade agenda MORE (Mich.), Tammy BaldwinTammy BaldwinClub for Growth endorses Nicholson in Wisconsin GOP primary Senate Dems unveil trade agenda Group pushes FDA to act on soy milk labeling petition MORE (Wis.) and Sherrod BrownSherrod Campbell BrownOvernight Finance: House passes spending bill with border wall funds | Ryan drops border tax idea | Russia sanctions bill goes to Trump's desk | Dems grill bank regulator picks Dems grill Trump bank regulator nominees Senate Dems launch talkathon ahead of ObamaCare repeal vote MORE (Ohio), who are each up for reelection in states carried by Trump, are offering legislation that let Americans between the ages of 55 and 64 buy into Medicare.

Barrow called the move a positive step, though the end game is either a single-payer system or a state-by-state or federal Medicare option for everyone.

Sanders has also acknowledged that with Republicans in control of Congress, his bill is unlikely to pass. He outlined three steps to take in the meantime: passing legislation to get the public option in every state, lowering Medicaid eligibility to 55 and lowering the cost of prescription drugs.

But he is also prepared to take his argument for a broader single payer bill into Trump territory. Hell hit the road with stops in Indiana, Ohio and Michigan to discuss healthcare and the economy, including a rally with Conyers where theyre expected to discuss Medicare for all.

Barrow added that the Progressive Change Campaign Committee is already reaching out Capitol Hill offices and will keep up their effort through 2018 and beyond to get Democrats to wrap themselves in the flag of Medicare.

If you go into a red state its a super, super popular program in red states, blue states and purple states, she said. Its going to be a winning issue in 2018 especially in those red and purple states.

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Democrats prep for next round of healthcare fight - The Hill