Last night’s Democratic presidential debate offered perhaps the clearest distillation yet among the candidates seeking the party’s nomination as to where they stand on a push for expanding health care coverage to all Americans.

And that conversation could be held again tonight when the 10 other candidates — including New Yorkers Kirsten Gillibrand and Bill de Blasio — take the stage.

The conversation was illuminating given how it was a condensed version of the overall debate among Democrats over where health care policy should be directed: Incrementally build on the Affordable Care Act? Provide a “public option” that would compete with private insurers? Or, end private health care all together and create a single-payer system?

In New York, the policy outcome has been on part one: Bolstering and protecting the ACA, also known as Obamacare, by codifying the health care exchange and other provisions should the national law be repealed by Congress or challenged successfully in the courts.

Gov. Andrew Cuomo has not embraced the New York Health Act, a single-payer bill backed by Assemblyman Dick Gottfried and Sen. Gustavo Rivera. He been supportive of single payer on the national level, but instead has sought to focus on the Affordable Care Act’s status in New York.

During the 2019 session, which saw bill after bill long sought by progressives become law, the New York Health Act remained in committee and a matter of debate. By last count, the measure has 30 Democrats signed on for sponsorship in the 63-member state Senate.

Moderate Democrats from Long Island like Sens. Todd Kaminsky, John Brooks, Anna Kaplan and Monica Martinez — all of whom represent historically GOP-held seats — have not signed on to the bill.

Nevertheless, lawmakers in support of the legislation continue to push for it. In a Daily News op/ed this week reflecting on the anniversary of the creation of Medicare and Medicaid, Sen. Alessandra Biaggi reflected on New York’s own debate.

“New York will lead the nation when we pass the NYHA, so it is important that we get this right,” she wrote. “With the leadership of state Sen. Gustavo Rivera and Assemblyman Richard Gottfried, I am confident that we can build a sustainable and realistic plan to pay for and implement the bill and advance it next session.”

Roadblocks and sticking points, of course, remain. As raised in the Democratic debate, labor unions, which remain strong in the state as their membership has fallen elsewhere, would have to reconcile the measure with their collectively bargained health insurance.

Much could very well depend on who the nominee for the Democratic Party is in 2020, especially if they have sewn up the nomination by the middle portion of the legislative session while it is underway in Albany.

A moderate voice for the party — someone in the mold of former Vice President Joe Biden — could shift the conversation elsewhere. But a Medicaid-for-all or single-payer supporter could advance things even further.