For months Joseph R. Biden Jr. has condemned President Trump as a failed steward of the nation’s well-being, relentlessly framing the 2020 election as a referendum on the president’s handling of the coronavirus pandemic.
Now, confronted with a moment that many believe will upend the 2020 election — the death of Justice Ruth Bader Ginsburg and the prospect of a bitter Supreme Court confirmation battle — Mr. Biden’s campaign is sticking to what it believes is a winning strategy. Campaign aides said Saturday they would seek to link the court vacancy to the health emergency gripping the country and the future of health care in America.
While confirmation fights have long centered on hot-button cultural divides such as guns and especially abortion, the Biden campaign, at least at the start, plans to chiefly focus on protecting the Affordable Care Act and its popular guarantee of coverage for people with pre-existing conditions.
Arguments in a seminal case that could determine the future of the health care law are set for a week after Election Day, with the administration supporting a Republican effort to overturn it. Mr. Biden will accuse the president, as he already has, of trying to eliminate protections for pre-existing conditions during a pandemic, aides said, with the stakes heightened by a Supreme Court now short one of the liberal justices who had previously voted to keep the law in place.
Despite the Biden team’s confidence, the prospect of Mr. Trump’s appointing a third justice to the Supreme Court in his first term injects a highly volatile element into the race just six weeks before the election. Court battles have long been seen as greater motivation for Republican voters than for Democrats, though the record sums of money flooding into Democratic campaigns in the hours after Justice Ginsburg’s death offered progressives hope that they might be equally energized this time.
Still, Biden campaign officials said on Saturday that they did not see even a Supreme Court vacancy and the passions it will inevitably inflame as reason to fundamentally reorient the campaign’s approach. Mr. Biden has consistently led the president nationally and in polls of battleground states throughout the summer.
For Democrats, the focus on health care — overlaid by the pandemic — is a rerun of the successful playbook that helped power the party’s takeover of the House of Representatives in 2018 and a fidelity to Mr. Biden’s steadfast promise to defend Obamacare, a pledge that helped him navigate through the 2020 primary.
“This is a choice between a court that will defend your health care and take your health care away,” said Heidi Heitkamp, a former Democratic senator from North Dakota, who lost in 2018 after voting against Mr. Trump’s last Supreme Court nominee, Brett M. Kavanaugh.
“The winds have shifted on Obamacare,” she said, linking the law’s future to the coronavirus crisis. “The pandemic is about health care. So it’s a continuing of a discussion about health care and who’s the candidate most likely to protect you and your health care.”
The Biden campaign could also still seize on the uncertain future of abortion rights to mobilize younger voters, raising the specter of a Supreme Court tilted toward a 6-to-3 conservative majority.
“If you want something to fire up young people who weren’t all that interested this year, this is it,” John Anzalone, a pollster for Mr. Biden, said, noting that his research suggested that even apolitical young voters grasped abortion politics. “They know Roe v. Wade.”
Mr. Biden quickly called on Friday for the Senate to stop any nomination to the Supreme Court before the election, and Senate Democrats huddled on a Saturday afternoon conference call to plot their path forward. Mr. Trump pledged on Saturday to move forward “without delay,” saying that his nominee would be a woman and that he would announce his pick in the next week. Senator Mitch McConnell of Kentucky, the majority leader, has vowed that there will be a floor vote.
Senator Chuck Schumer of New York, the Democratic leader, exhorted his Democratic colleagues to communicate the real-world stakes of a conservative-dominated court, urging them to make the case that another Trump pick would jeopardize the health law.
“Health care, protections for pre-existing conditions, women’s rights, gay rights, workers’ rights, labor rights, voting rights, civil rights, climate change and so much else is at risk,” Mr. Schumer told his colleagues, according to a person on the call.
Mr. Biden and Mr. Schumer were scheduled to speak late in the day. Mr. Biden himself had no events scheduled on Saturday and was expected to spend part of the next week preparing for the first debate, which will be held on Sept. 29.
Mr. Biden — who has pledged to nominate a Black woman to the Supreme Court — was not expected to move to announce his own list of possible choices before Election Day, as Mr. Trump recently did. In a statement, Mr. Biden’s campaign said the former vice president was not “going to play politics on this as Donald Trump has.”
Representative Alexandria Ocasio-Cortez of New York, a leader of the Democratic Party’s progressive wing, agreed with that approach. “It’s less about motivating people around a specific individual to be named to that court,” she said in an interview. “I think we are highly motivated about just making sure that vacancy is protected and preserved for the next president.”
“Right now,” she said of naming names, “the costs outweigh the benefits.”
The Biden campaign will have an unusually direct role in the confirmation fight through Senator Kamala Harris of California, Mr. Biden’s running mate, who stopped by the steps of the Supreme Court on Saturday morning. As a member of the Senate Judiciary Committee, Ms. Harris will serve as an interrogator for whomever Mr.