Trump’s approval slump puts both chambers in play

The midterms arrive with Donald Trump carrying weak approval ratings and a political map that gives Democrats a realistic path to taking back Congress. His standing hovered around 37% recently, a level that leaves little margin for error when voters are asked to judge the president’s party rather than the president alone. In American midterm politics, the White House usually absorbs the backlash. When the public is unhappy with inflation, foreign policy, or the cost of daily life, the governing party tends to pay at the ballot box.

Eight years ago, Trump’s approval was higher at this point in his first term, and Joe Biden’s was also slightly stronger at a comparable stage in his presidency. In both cases, the sitting president’s party lost the House but held the Senate. Those precedents matter because they frame the central question now: whether a president with persistently poor ratings can limit the damage, or whether his party loses ground across both chambers.

House races offer Democrats the clearest path

The House of Representatives is the more vulnerable chamber for Republicans. Their majority is only 218 seats, the bare minimum needed for control, with one independent voting alongside them. Every House seat is on the ballot because members serve two-year terms, and that makes the chamber especially sensitive to national mood swings.

Most districts are not truly competitive, but the margins at the top are thin enough to matter. The Cook Political Report lists just 21 districts as toss-ups, with Republicans defending 16 of them and Democrats defending five. If Democrats can win four of those toss-up seats and pair that with the 29 districts already leaning their way, the chamber flips. In practical terms, the fight is being waged in a relatively small number of battlegrounds, not across the country as a whole.

The historical pattern is harsh for the president’s party. Since 1934, the average midterm loss for the party in power has been 27 House seats. In 23 midterm elections over that span, the president’s party has gained seats only three times. That statistic captures the structural drag built into the calendar itself. Voters who are frustrated rarely need a detailed reason to punish Washington; they often only need the chance.

Senate control is harder to move, but not out of reach

The Senate gives Republicans a somewhat sturdier position. They hold 53 seats, while Democrats control 45, with two independents voting with the Democrats. Only about a third of the chamber is elected every two years, so the battlefield is narrower and the math more difficult.

Thirty-five Senate seats are on the line, but only seven are considered toss-ups. Six of those are currently held by Republicans, and one by Democrats. For Democrats to win the chamber, they would need four toss-up victories and four more seats already rated likely or leaning Democratic, bringing them to 51. The arithmetic is simple; the geography is not. Several of the most important races are in states Trump won by double digits in 2024, including Alaska, Iowa and Ohio.

Michigan may prove decisive in a different way. Democrats are trying to keep hold of a seat there, but the race is tighter than they would prefer between Abdul El-Sayed, a left-wing political outsider, and Republican Mike Rogers, a Trump ally and former FBI agent. Texas has also emerged as a long-shot but serious target, with James Talarico, a former teacher, in position to challenge Ken Paxton, the state attorney general and a close Trump ally. If that race were to break toward Democrats, it would mark the first Democratic Senate win in Texas since 1988.

Cost of living, healthcare and immigration are shaping the vote

The dominant issue remains the cost of living. Trump campaigned on a promise to end inflation and make the country affordable again, but those claims have collided with real-world price shocks. Gas prices, which he celebrated as low in late February, jumped sharply after the war with Iran disrupted Middle Eastern energy supplies. The conflict reverberated through global markets and landed directly on American households at the pump.

One poll in August found 63% of respondents disapproved of Trump’s handling of the situation. That kind of figure matters because economic pain becomes politically sticky very quickly. When voters feel the squeeze in fuel, food or insurance costs, they do not separate global events from domestic leadership in the way strategists do.

Healthcare remains a second major pressure point. Democratic candidates are focusing on the high cost of US health insurance and the consequences of Trump’s legislation for access to care. In a system where coverage gaps can quickly become financial crises, health costs remain one of the few issues that cuts across party lines. Immigration also remains central, although Trump has tried to claim success by pointing to lower border-crossing figures than in recent years.

Money is helping Republicans stay competitive

Even with weak approval ratings, Trump and his party still have a financial edge. By the end of August, the Republican National Committee and allied groups had more than $600m in cash on hand, compared with just under $400m for Democrats. Trump’s MAGA Inc group held another $400m-plus, giving Republicans a major reservoir for late advertising and turnout operations.

That spending power has already been visible. More than $1bn in political advertising aired in September alone, and Republicans outspent Democrats by $200m during that period. They also outspent them in nearly all Senate toss-up races. In a close election, saturation advertising can do more than shape opinions; it can determine which voters show up, and which stay home.

The final question is not only whether Democrats can capitalize on Trump’s weakness, but whether Republicans can soften the blow with cash, message discipline and turnout. The answer will determine control of Congress and set the tone for the 2028 presidential race, when Trump himself will no longer be on the ballot.


Reporting by Dr. Sarah Lin, MD, MPH for Medicine World Foundation, with additional data provided by BBC News — Dentistry.