The sniping between the two White House contenders, highlighted on Wednesday when Sanders delivered a defense of his ambitious “Medicare for All” plan, has split Democrats and forced other candidates to choose sides on an issue certain to play prominently in next year’s general election race.
The different approaches reflect the tension in a Democratic Party torn between progressives like Sanders seeking major systemic changes and moderates like Biden who want a more pragmatic approach – and the concerns about which approach would be a winner against Republican President Donald Trump in November 2020.
Biden, vice president for eight years under former President Barack Obama, said a $750 billion plan he introduced on Monday would strengthen Obama’s landmark healthcare law known as Obamacare and include an option for a paid government-run plan.
Medicare is the government insurance plan for the elderly and Sanders wants to shift Americans into a Medicare-based, single-payer system that largely eliminates private insurance.
Biden called Sanders’ proposal an unrealistic and costly threat to Obamacare.
“Starting over makes no sense to me at all,” Biden said.
U.S. Senator Sanders, an independent who has been a leader of the Democratic Party’s progressive wing since a losing 2016 presidential run, said he helped pass Obamacare and defend it from Republican repeal efforts.
He said it was time to go further, however, and that his proposal was an effort to break the influence of corporate industry interests.
He called Biden’s criticism “absurd” and openly questioned which side Biden and others who oppose Medicare for All were on.
“At the end of the day, you’ve either got to be on the side of the people or the side of the health insurance companies. I know what side I’m on,” Sanders said after Biden released his plan.
On Wednesday, Sanders shrugged off critics who have questioned whether his plan should eliminate private insurance.
“I have never met one person who loves their insurance company,” Sanders said in a speech in Washington.
Both Sanders and Biden are looking to rebound from a dip in their opinion poll numbers after the first Democratic presidential debate in June.
The Sanders campaign, angered by Biden’s complaints about Medicare for All, ran an online quiz on Tuesday asking people to identify who had made various claims against the proposal. Options included Biden, Trump and Senate Republican Leader Mitch McConnell.