--- title: Democratic Debate: Clinton and Sanders Spar on Health Care description: Hillary Clinton and Bernie Sanders say they both want universal health care. But they have different ideas about how to get there. canonical: https://time.com/4295505/hillary-clinton-bernie-sanders-health-care-democratic-debate/ author: Tessa Berenson article:opinion: false article:content_tier: free article:published_time: 2016-04-15T02:58:43.000Z article:modified_time: 2026-10-05T08:50:06.255Z article:section: Politics og:title: Democratic Debate: Clinton and Sanders Spar on Health Care og:description: They have different ideas about how to get to universal coverage og:url: https://time.com/4295505/hillary-clinton-bernie-sanders-health-care-democratic-debate/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltbc49a35bcd5b6a49/69888f40cd1bba377c700449/timepol_democratic_debate_clinton_sanders_b.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 3500 og:image:height: 1969 og:image:alt: TIMEPOL Democratic Debate clinton sanders og:type: article twitter:card: summary_large_image twitter:title: Democratic Debate: Clinton and Sanders Spar on Health Care twitter:description: They have different ideas about how to get to universal coverage twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltbc49a35bcd5b6a49/69888f40cd1bba377c700449/timepol_democratic_debate_clinton_sanders_b.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # Clinton and Sanders Spar on Health Care at the Democratic Debate > Sponsored content. 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It explains the politics, personalities and power dynamics behind the headlines, twice a week. #### Where can I get analysis of Washington politics by email? D.C. Brief is TIME's free Washington politics newsletter, available at time.com/newsletters. It is written by a TIME senior correspondent who covers the capital full time. #### Who writes TIME's D.C. Brief? Philip Elliott, a senior correspondent at TIME, writes D.C. Brief. #### Is D.C. Brief free? Yes. D.C. Brief is free at time.com/newsletters. ### Sources * TIME Newsletters: [time.com/newsletters](/c/time-nl-dcbrief-2026q3/newsletters?i=35220c21-03a1-4277-ad71-349cd5b3e529&cr=time-nl-dcbrief-2026q3-v1) ## Video: CNN Democratic Debate: Sanders Vows To Provide Universal Healthcare [Watch (HLS stream): CNN Democratic Debate: Sanders Vows To Provide Universal Healthcare](https://cdn.jwplayer.com/manifests/mozDpQv1.m3u8) (2:01)  _Published 2016-04-15_  by [Tessa Berenson](https://time.com/author/tessa-berenson/)  ## Tessa Berenson Apr 15, 2016 2:58 AM UTC  by [Tessa Berenson](https://time.com/author/tessa-berenson/)  ## Tessa Berenson Apr 15, 2016 2:58 AM UTC Hillary Clinton and Bernie Sanders say they both want universal health care. But they have different ideas about how to get there that cut to the core of their governing philosophies. Vermont Sen. Sanders promises free health care for all, which some estimates say will add trillions of dollars to the national debt. “I disagree with that study,” Sanders said when confronted with numbers from the debate moderators Thursday night. He said that his “proposal, a Medicare-for-all single payer program, will save middle class families many thousands of dollars a year in their health care costs.” Former Secretary of State Clinton said she agrees with Sanders lofty goals, but she advocates a more pragmatic approach. “I absolutely agree with the diagnosis,” she said. “The diagnosis that we’ve got to do much more to finish the work of getting universal health care coverage, something that I’ve worked on for 25 years… But I do think when you make proposals and you’re running for president, you should be held accountable for whether or not the numbers add up and whether or not the plans are actually going to work.” Clinton said she wants to continue building on the Affordable Care Act, and that Sanders’ plan “would pose an incredible burden not just on the budget, but on individuals.” “If someone promises you something for free, read the fine print,” Clinton quipped, saying it was a favorite mantra of her late father. Sanders fired back: “Secretary Clinton will have to explain to the people of our country how it could be that every other major country on earth manages to guarantee health care to all of their people, spending significantly less per capita than we can,” he said. “I live 50 miles away from Canada, you know, it’s not some kind of communist authoritarian country. They’re doing OK.” ## Transcript My proposal, a medicare for all, single payer program, will save, [ APPLAUSE ] will save middle class families, many thousands of dollars a year, in their health care costs. Public colleges, and universities tuition free, damn right. That is exactly where we should be going [ APPLAUSE ] [ APPLAUSE ] Most of the people who have analyzed what Senator Sanders put out, remember he had a plan for about, 18, 20 years, he'd change in the middle of his campaign, he's put out another plan, people have been analyzing the new plan, and there is no doubt by those who have analyzed it, progressive economists, health economists and the like That it would pose an incredible burden. Not just on the budget, but on individuals. In fact, the Washington Post called it a trainwreck for the poor. A working woman on Medicaid who already has health insurance would be expected to pay about $ 2300. The same for free college. The free college offer, you know, my late father said, if somebody promises you something for free, read the fine print. Thank you Secretary. [ APPLAUSE ] Really? And here what it says. The fine print says this, that the federal government will cover two- thirds of the cost. All right, okay. And require the states, even those led by Republican governors. Senator, go ahead. Thank you. To carry out what the remaining one third [ CROSSTALK ]. [ CROSSTALK ] what Secretary Clinton is saying. Secretary, please. We are not a country that has the courage to stand up to big money and do what has to be done for the working families in this country. [ APPLAUSE ] Secretary Clinton will have to explain [ APPLAUSE ] For the people of our country. How it could be that every other major country on Earth manages to guarantee healthcare to all of their people spending significantly less per capita than we can? I live 50 miles away from Canada. It's not some kind of communist authoritarian country. 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