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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Sep 13 2019

Full Issue

Front-Runners Exchange Jabs As Health Care Once Again Takes Center Stage At Democratic Debate

Even though much-anticipated fireworks between former Vice President Joe Biden and Sen. Elizabeth Warren (D-Mass.) failed to materialize, Biden did take shots at her and Sen. Bernie Sanders (I-Vt.) over how much "Medicare for All" will cost. The clash over health care opened the Thursday night debate in a sign that the issue is coming to represent the dividing line between the Democratic field: sweeping change versus building on existing framework.

Biden, Warren and Sanders opened the debate with a clash over health care that was a proxy argument over the future of the Democratic Party. Warren and Sanders arguing that Medicare-for-all would save Americans money and Biden, joined by the more moderate candidates, made a case against a wholesale overhaul of the health-care insurance industry as too expensive and unpopular. It was part of a broader divide onstage, between candidates who favor less sweeping but more attainable goals and those calling for huge structural change. (Sonmez, Wootson and Viser, 9/13)

The candidates largely agreed on what they see as the most important issues facing the country鈥攁 lack of universal health care, income inequality, the threat of climate change and the prevalence of mass shootings鈥攂ut they diverged on how to address them. Mr. Biden, who has been atop the polls, drew fire from several candidates, but they saved the sharpest words for President Trump over his rhetoric and trade policies. (Day, Collins and Glazer, 9/13)

Facing all of his closest competitors for the first time in a debate, Mr. Biden, the Democratic front-runner, repeatedly invoked President Barack Obama鈥檚 name and policy record as a shield against rivals who suggested his own record was flawed, or implied his agenda lacked ambition. On health care, immigration, foreign wars and more, Mr. Biden鈥檚 central theme was his tenure serving under Mr. Obama. By constantly invoking Mr. Obama, a popular figure among Democrats, Mr. Biden sought to mute the ideological and generational divisions that have left him vulnerable in the primary race. (Martin and Burns, 9/12)

An anticipated fiery matchup between Biden, the moderate former vice president, and Elizabeth Warren, a liberal senator who has gained the No. 2 spot in recent opinion polls, did not quite materialize. U.S. Senator Bernie Sanders, running a close third, sounded hoarse as he expounded on his favorite progressive topics, including healthcare, political corruption and income inequality. (9/13)

Biden, who served as vice president for eight years under Barack Obama, said he would build on Obama's landmark 2010 Affordable Care Act, popularly known as Obamacare. He accused Warren and Sanders of wanting to tear it down with Medicare for All, a proposed government-run healthcare program that would eliminate private insurance. "I know that the senator says she's for Bernie. Well I'm for Barack. I think Obamacare worked," Biden said, asking Warren and Sanders to explain how they would pay for their plans. "This is about candor, honesty, big ideas." (9/13)

The former vice president was backed up by Sen. Amy Klobuchar of Minnesota. 鈥淚t says that we will no longer have private insurance as we know it,鈥 she said of the Sanders bill. 鈥淭hat means that 149 million Americans will no longer be able to have their current insurance. That鈥檚 in four years. I don鈥檛 think that鈥檚 a bold idea, I think it鈥檚 a bad idea.鈥 Ms. Warren responded that her policies would be paid for by the wealthiest. 鈥淐osts are going to go up for wealthier individuals and costs are going to go up for giant corporations,鈥 she said. 鈥淏ut for hardworking families across this country, costs are going to go down.鈥 (Parti and McCormick, 9/13)

Sanders took heavy fire on his single-payer health insurance proposal, with Biden and others hammering the Vermont senator for the cost and the political palatability of effectively eliminating the existing private insurance market. (9/12)

Sanders said most Americans were getting a raw deal in terms of their present health care costs compared with countries that have systems more similar to his Medicare for All approach. 鈥淟et us be clear, Joe, in the United States of America we are spending twice as much per capita on health care as the Canadians or any other major country on earth,鈥 Sanders said.聽鈥淭his is America,鈥 Biden retorted.聽鈥淵eah, but Americans don鈥檛 want to pay twice as much as other countries and they guarantee health care to all people,鈥 Sanders responded.聽(Sullivan, 9/12)

Several other candidates were more than willing to take on their fellow Democratic contenders directly, despite beginning the debate saying they wanted to unify the country and highlight the party鈥檚 broad unanimity on public policy. 鈥淚 don鈥檛 think it鈥檚 a bold idea, I think it鈥檚 a bad idea,鈥 Sen. Amy Klobuchar (Minn.) said of Sanders鈥檚 health-care bill. 鈥淔or a socialist, you鈥檝e got a lot more confidence in corporate America than I have,鈥 Biden said to Sanders, scoffing at the idea that companies would pay workers more if they had fewer health-care costs. (Olorunnipa, Kinskey and Viser, 9/13)

鈥淲e all owe a huge debt to Barack Obama, who fundamentally transformed healthcare in this country,鈥 Warren said. 鈥淣ow, the question is how can we best improve that? Those at the very top, the richest individuals, the biggest corporations, are going to pay more and middle-class families are going to pay less,鈥 Warren said. 鈥淭hat is how this is going to work.鈥 (Halper and Mehta, 9/12)

Sanders acknowledged the cost of his signature plan 鈥 but said studies show the status quo will cost Americans $50 trillion over the same time period. "I wrote the damn bill, if I may say so," he said, repeating his main applause line from the second debate in July. Biden emphasized again that his plan would allow people who like their private insurance to keep it, a key point of distinction from Sanders' and Warren's approach. (9/13)

Kaiser Health News: Despite Repeated Calls For Unity, Democrats Throw Some Debate Punches On Health Plans

鈥淓veryone on this stage is well-intentioned,鈥 said Sen. Kamala Harris of California. But she also issued a reminder that Trump has worked aggressively to fight the ACA 鈥 even taking it to court 鈥 and listed some of its most popular provisions, such as its protections for people with preexisting conditions and the ability to stay on your parents鈥 insurance until you turn 26. 鈥淚f we don鈥檛 get Donald Trump out of office, he鈥檚 going to get rid of all of it,鈥 she said. (Huetteman, 9/13)

WHAT MR. CASTRO SAID: 鈥淚 also worked for President Obama, Vice President Biden, and I know that the problem with your plan is that it leaves 10 million people uncovered.鈥 Later, he added, 鈥淭he difference between what I support and what you support, Vice President Biden, is that you require them to opt in, and I would not require them to opt in 鈥 they would automatically be enrolled.鈥 This is mostly true. (9/12)

The more centrist candidates 鈥 New Jersey Sen. Cory Booker, Buttigieg and Klobuchar 鈥 talked about finding common ground. But Warren, Sanders and Julian Castro argued for throwing the long ball. "But the truth is that our problems didn't start just with Donald Trump, and we won't solve them by embracing old ideas," Castro, the former Housing secretary, said in what seemed to be a slight aimed at Biden. "We need a bold vision." (Page, 9/13)

Democratic presidential candidate Juli谩n Castro aggressively challenged Joe Biden 鈥 a fellow former Obama administration official 鈥 on the debate stage here Thursday, seeming to question the former vice president鈥檚 memory and saying he was not fulfilling former President Barack Obama鈥檚 鈥渧ision鈥 on health care. The showdown early in the debate at Texas Southern University came after Biden criticized the Medicare-for-all health care plan touted by U.S. Sens. Elizabeth Warren and Bernie Sanders, among others. (Samuels, 9/12)

To many, it was the most loaded question at Thursday night鈥檚 Democratic presidential debate. 鈥淎re you forgetting what you said two minutes ago?鈥 Juli谩n Castro asked Joe Biden in a heated exchange over health care. The crowd inside the debate hall reacted with a collective gasp, as if they had witnessed a scandalous twist on an afternoon talk show. Then, Castro repeated himself. Twice. (Sullivan, 9/13)

The lack of a clear winner among the 10 candidates on the stage underscored a key point about the 2020 Democratic primary: It may be a while before a winner emerges, as the Democratic Party wrestles with both an ideological divide and the crucial question of whether it's time for the next generation to take up the mantle. (Reston, 9/13)

Read the full transcript of the third 2020 Democratic Debate airing on Thursday night, Sept. 12, 2019, on ABC News. (9/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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