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Trump, Biden clash in final debate on COVID-19 response, health care, race

Highlights from the final presidential debate before Election Day.

Last Updated: November 3, 2020, 9:12 AM EST

President Donald Trump and former Vice President Joe Biden, the Democratic nominee, faced off in the final presidential debate of the 2020 election cycle from Belmont University in Nashville on Thursday night, marking the candidates’ last chance to pitch themselves to tens of millions of voters in primetime before Nov. 3.

The stakes were high: Trump needed to make his case as polls show him trailing nationally and in several battleground states key to his reelection hopes. At the same time, Biden had a platform to solidify his lead and avoid any major mistakes with Election Day just 12 days away.

Biden spent the week hunkered down in Wilmington, Delaware, to prepare -- what he's done before other debates -- while Trump had seemingly done less to prepare, telling reporters on Wednesday, "I do prep, I do prep," without elaborating. Earlier this week Trump said that answering journalists' questions is the best kind of preparation.

Thursday's debate was supposed to be the candidates' third matchup but is instead the second of only two presidential debates this election. Trump refused to participate in the second debate when it was moved to a virtual format following his COVID-19 diagnosis. The candidates ultimately participated in dueling town halls instead.

Top headlines:

Here's how the evening unfolded. All times Eastern.
Oct 23, 2020, 12:49 AM EDT

Fact check: Trump wrong on COVID-19 mortality rates

TRUMP'S CLAIM: Trump said that "the mortality rate is down 85%" for COVID-19 in the United States, and that "the excess mortality rate is way down, and much lower than almost any other country."

FACT CHECK: Although Trump was correct to assert that death rates have fallen significantly since the spring, they are not down by 85%, but rather 62% -- and they are currently trending up again nationwide.

According to public health experts, much of that decline can be attributed to greater testing, better treatment protocols and to a larger number of younger people -- rather than older people -- becoming infected with COVID-19.

Meanwhile, "excess mortality" is an estimate of how many more people are dying than during a normal year, or other time period. It is incorrect to refer to the rate as "way down," since it is estimated that in the United States, there have been many more excess deaths compared to last year.

The Centers for Disease Control and Prevention reported on Tuesday 299,028 more people had died in the United States from late January to early October than would be expected in a typical year. It attributed 66% of those excess deaths, or 198,081, to COVID-19.

According to a report published in the Journal of the American Medical Association, "The US has experienced more deaths from coronavirus disease 2019 (COVID-19) than any other country and has one of the highest cumulative per capita death rates."

Analyzing the number of deaths per 100,000 people attributed to the pandemic, the U.S. had 60.3 deaths per 100,000 people. That was higher than Germany (11.3), Canada (24.6) and France (46.6), but lower than Belgium (86.8) and the United Kingdom (62.6), according to the report.

-ABC News' Arielle Mitropoulos

Oct 23, 2020, 12:48 AM EDT

Fact check: Trump left out significant detail when saying 2.2 million Americans were initially expected to die from COVID-19

TRUMP'S CLAIM: "So as you know, 2.2 million people modelled out were expected to die."

FACT CHECK: It is true that, in the spring, one early model predicted more than 2 million deaths from the COVID-19 pandemic, although the model said the death toll would only be that high no attempts were made to control the pandemic. 

During a March 29 White House coronavirus task force press briefing, Trump and White House coronavirus response coordinator Dr. Deborah Birx said that models showed up to 2.2 million people could die from COVID-19 in the United States "if we did nothing," as the president put it.

This was an estimate of potential deaths if neither the government, nor individuals, choose to alter their behavior, despite the pandemic.

The prediction may have been drawn from a model by Neil Ferguson, an epidemiology professor at Imperial College London, which found that an "unmitigated epidemic," could result in "2.2 million (deaths) in the US."

-ABC News' Arielle Mitropoulos

Oct 23, 2020, 12:16 AM EDT

Final candidate speaking times

After over 90 minutes on the final presidential debate stage, below is ABC’s calculation of the candidates' approximate speaking times:

Trump: 40:36
Biden: 39:24

President Donald Trump and Democratic presidential nominee Joe Biden are joined on stage by first lady Melania Trump and Dr. Jill Biden after their second 2020 presidential campaign debate at Belmont University in Nashville, Tenn., Oct. 22, 2020.
Mike Segar/Reuters

Here's the time spent on each individual topic including moderator speaking time:

COVID-19: 20:32
National security: 19:55
American families: 21:12
Race in America: 14:02
Climate change: 11:28
Leadership: 4:49

-ABC News' Kelsey Walsh

Oct 23, 2020, 12:03 AM EDT

Fact Check: US exports more energy than imports, but not completely energy independent, despite Trump claim

TRUMP'S CLAIM: "We are energy independent for the first time."

FACT CHECK: The U.S. exports more energy products like oil and liquid natural gas than it exports, but many parts of the country still rely on oil from other countries.

But the U.S. is not fully energy independent.

The amount of oil produced in the U.S. is about 1.25 million barrels a day short of demand, according to the U.S. Energy Information Administration, and while imports are at a record low the country still relies on imported products for 3% of domestic petroleum consumption.

One of Trump's goals has been to make the U.S. energy independent, in part by expanding oil and gas drilling around the country including on public lands.

President Donald Trump speaks during the third and final presidential debate with Democratic presidential nominee Joe Biden at Belmont University in Nashville, Tenn., Oct. 22, 2020.
Jim Bourg/Pool via Reuters

Last year, U.S. energy exports surpassed imports for the first time since 1952, largely due to increases in natural gas production.

-ABC News' Stephanie Ebbs