With a few days to go until the midterm elections, campaigns across the country are making their last push to sway voters on Tuesday. But the dominant themes of election ads that voters have seen on television look very different depending on where you live.
For much of the nation, health care has been the central talking point of 2018. It’s the most commonly mentioned congressional and gubernatorial campaign topic in television ads in 45 percent of local media markets this year, according to data provided by Kantar Media/CMAG.
In many parts of the country, candidates and groups supporting them are still appealing to pocket books, focusing their ads on tax cuts and job growth. Elsewhere, politics are still local—topics like public safety, teachers’ salaries and tariffs on crops are all driving the political conversation. In Tennessee, it’s all about praise for President Donald Trump; in Washington D.C., anti-Trump fervor has dominated.
Bloomberg News analyzed more than 3 million election ads for 2018 congressional and gubernatorial races to get a sense of the most commonly discussed issue in 210 local television markets, as defined by the Nielsen Company. Across the U.S., 16 different topics are mentioned more than anything else during midterm TV ads.
The Big Issues You’re Seeing on TV: Health Care, Taxes and Jobs

Health Care
Health Care
Taxes
Education
Social
Issues
Taxes
Taxes
Jobs
Jobs
Anti-Trump
Taxes
Jobs
Agriculture
Social
Issues
Taxes
Budget
Anti-Trump
Transportation
Jobs
Guns
Social
Issues
Taxes
Health Care
Health Care
Budget
Budget
Pro-Trump
Public Safety
Jobs
Health Care
Education
Taxes
Taxes
Education
Immigration
Jobs
Public Safety
Immigration
Jobs
Multiple
Issues
Public Safety
Health Care
Public Safety
Immigration
Education

HEALTH CARE
HEALTH CARE
EDUCATION
SOCIAL
ISSUES
TAXES
TAXES
JOBS
ANTI-TRUMP
TAXES
AGRICULTURE
TAXES
BUDGET
JOBS
GUNS
TAXES
PRO-TRUMP
BUDGET
HEALTH CARE
TAXES
EDUCATION
IMMIGRATION
Transportation
JOBS
PUBLIC
SAFETY
JOBS
PUBLIC
SAFETY
HEALTH CARE
MULTIPLE
ISSUES
HEALTH CARE
IMMIGRATION
EDUCATION

HEALTH CARE
HEALTH CARE
EDUCATION
TAXES
TAXES
ANTI-TRUMP
AGRICULTURE
TAXES
SOCIAL
ISSUES
BUDGET
JOBS
GUNS
TAXES
BUDGET
PRO-TRUMP
HEALTH CARE
JOBS
PUBLIC
SAFETY
TRANSPORTATION
MULTIPLE
ISSUES
PUBLIC
SAFETY
HEALTH CARE
IMMIGRATION
EDUCATION

Health Care
Anti-Trump
Social issues
Education
Transportation
Taxes
Agriculture
Jobs
Guns
Budget
multiple
issues
Immigration
Pro-Trump
Public Safety
Just because a topic isn’t the top issue in a market doesn’t mean it’s not being discussed. Social issues for example, which include things such as civil rights and abortion, may be the most-mentioned topic in only six markets, but it’s mentioned at least once in 95 percent of all markets.
But not all topics are a staple of campaign pitches nationwide. An issue such as public safety—which includes ads about threats posed by migrants seeking asylum at the southern border, for instance—is a top topic in many of the markets in Texas, but mentioned far less elsewhere.
Other issues front-and-center for many Americans largely haven’t made their way onto the campaign trail. The contentious confirmation of Supreme Court Justice Brett Kavanaugh had been thought to stoke enthusiasm among both Democratic and Republican voters, but only 2 percent of ads have mentioned the issue since Kavanaugh’s first Senate Judiciary Committee hearing.
Portion of Ads in Each Market Mentioning a Specific Issue
SOCIAL ISSUES
PUBLIC SAFETY
SUPREME COURT
The realities of what a television viewer sees at home is more nuanced still. A single ad almost always mentions multiple issues. Kantar Media/CMAG keeps a tally of each issue mentioned in an ad, even if a single topic is the predominant focus. Their categories cover specific topics, but Bloomberg’s analysis has grouped similar issues. So a term like “health care” refers to ads marked as mentioning the Affordable Care Act and the opioid epidemic. And this says nothing about campaign ads voters encounter on social media and other platforms.
Still, television advertising remains a critical way for candidates and groups supporting them to reach voters. The ads voters are seeing say a lot about the important issues where they live and the issues Democrats and Republicans have prioritized heading into Election Day.
Health Care and Prescription Drugs
A recent poll from the Kaiser Family Foundation found that health care is the top issue for midterm voters, so it’s no surprise that it’s been the most heavily-aired theme of the election. More than 1.2 million television ads have mentioned health care, with nearly 75 percent of those ads coming from Democrats. Their message has been straightforward—a vote for Democrats is a vote to save or expand protections under the Affordable Care Act. For many Republican candidates, their response has been a promise to protect pre-existing conditions—while simultaneously defending previous efforts to end Obamacare.
Taxes
While Democrats have gone all-in on health care, more than 570,000 GOP ads have mentioned taxes—nearly double the amount aired by Democrats—making it the top issue for Republicans in 2018. But the Republican message hasn’t always had a celebratory tone. Despite passing a major tax cut earlier this year, Republican ads in October that mentioned taxes were seven times more likely to be negative than positive. Republicans instead have used the topic to tell voters that Democrats will raise taxes next year if they gain control of the House and Senate.
Trump
In Tennessee, where the president has made multiple campaign stops to support Republican Senate candidate Marsha Blackburn, a pro-Trump message has been the most common ad topic. Nationwide, pro-Trump ads rank fifth overall for Republicans, as their ads have prioritized taxes, immigration, health care and the economy over touting candidates’ coziness to the president. The anti-Trump message has been strongest in California and Washington, D.C.
Supportive of Trump
Critical of Trump
Education
In April, public school teachers in Oklahoma walked out for nine days to protest their salaries, which are among the lowest in the nation. Since then, education has been the most talked about topic in Oklahoma campaign ads. Nearly 5,000 ads mentioned education in the Oklahoma City market alone, where candidates vying for governor have touted their plan to reform the state’s school system.
Immigration
Nearly one in five Republican ads have mentioned immigration this year, but it’s only a top issue in a few markets, including along the U.S.-Mexico border, where Republican candidates have pushed for more strict immigration laws and funding for Trump’s border wall.
Budget
The budget has been the top issue in Utah, where voters will consider an expansion of Medicaid to 150,000 low-income Utahns by funding it with a sales-tax increase. Some Republican lawmakers in the state have said passing the measure could lead to soaring deficits, while proponents of expansion have said the plan would pay for itself by reducing the cost of providing uncompensated care to the uninsured.
Agriculture
When Trump announced tariffs on Chinese-made steel and aluminum earlier this summer, China responded with tariffs of their own, including steep markups on U.S. agricultural products such as soybeans. The fight has made its way from Washington, D.C. to the campaign trail in Nebraska, where agriculture has been the top issue in 2018 for both parties.
Economy
Despite a booming economy, there’s only one market where the issue is the most mentioned topic: Southeast Louisiana, where an incumbent House Republican has made it a top issue in his campaign ads.
A Fight to Be Heard
If all these ads seem like more than you’d see in a typical midterm campaign, it’s because they are. The 3.5 million campaign ads that have aired so far this year (which includes ads that don’t get coded by Kantar Media/CMAG as having a particular issue mentioned) is almost one million more than aired during the 2014 midterms, and the total will increase as the last ads air before Tuesday.
The places with the most ads aren’t always the largest markets. Orlando, Las Vegas and Tampa have seen more campaign ads than anywhere else in the country due to a perfect storm of competitive House, Senate and governor’s races all occurring simultaneously.
And the party split has been nearly even too: About 54 percent of ads have been funded by Democrats. Areas where both parties have campaigned heavily are signs of competitive races, with the final decision ultimately coming down to whose message resonated most.
Total ads per media market