President-elect Joe Biden is unlikely to get sweeping health care changes through a closely divided Congress, but there’s a menu of narrower actions he can choose from to make a tangible difference on affordability and coverage for millions of people. With the balance of power in the Senate hinging on a couple of Georgia races headed to a runoff, and Democrats losing seats in the House, Biden's proposals for a public health insurance option and empowering Medicare to negotiate prescription drug prices seem out of reach. Biden also could nudge legislation to curb surprise medical bills over the finish line.