When Stuart Varney pressed DeSantis on the relatively high number of Floridians without insurance — Varney said 2.6 million — DeSantis blamed Washington.

“I think this is a symptom of our overall economic decline,” DeSantis said.

But the numbers from DeSantis’s own Florida Department of Health don’t show any correlation between the state of the economy and the number of Floridians without health care.

Despite population growth, and despite changes in the economy, Florida has more than 2.5 million people without health insurance at least since 2012, according to Florida Department of Health Data.

The total number of uninsured Floridians has remained relatively stable since 2018, according to the state.
-Analysis by Aaron Sharockman, PolitiFact

Before the first break, we saw a debate about a sensitive issue on the trail devolve into a heated back-and-forth where Ramaswamy and Scott -- who usually maintains a cheery disposition on the trail and stage – were at each other’s throats.

In calling for ending birthright citizenship for the children of illegal immigrants in the United States, Ramaswamy invoked the 14th Amendment – which bestows the rights of citizenship on all who were born in the country, including freed slaves.

“Now the left will howl about the Constitution and the 14th Amendment. The difference between me and them is I've actually read the 14th Amendment. What it says is that all persons born or naturalized in the United States and subject to the laws and jurisdiction thereof are citizens,” Ramaswamy said.

Scott countered Ramaswamy's argument, noting that the clause had to do with slavery, not illegal immigration.

“I think it's simple that clearly it was designed for slavery and not for illegal immigration,” said Scott. Scott then pivoted to saying that Ramaswamy, who said during the last debate that the other candidates were ‘bought and paid for,’ was “just in business with the Chinese communist party. The exchange devolved into a heated back-and-forth, with Ramaswamy at one point interjecting, “thank you for speaking while I’m speaking.”

-ABC News' Isabella Murray and Oren Oppenheim

When asked whether the Obama administration’s Affordable Care Act was “here to stay,” Pence started off by calling for a federal expedited death penalty for mass shooters. When pressed again by the moderator, he turned the question of the ACA into one about Trump, suggesting that questions about health care policy should be a decision by Congress and the executive branch, while Trump wants to “consolidate power in the executive branch.” Pence said he’d like to “revive federalism in America.”
— Analysis by Leah Askarinam of 538

In our pre-debate 538/Washington Post/Ipsos poll, 9 percent of likely Republican primary voters were looking at “improving health care” as one of up to three most important issues (among a list of 20) in deciding which candidate to vote for in the primaries.

—Analysis by Holly Fuong of 538

Foreign policy isn’t quite dominating this debate, but U.S. policy towards China is a prominent theme, and Ramaswamy is bearing down a lot of attacks on that.

Ramaswamy and Haley had a heated moment on the debate stage over the issue of support for Ukraine – which Haley tied to China. When Ramaswamy argued against support for Ukraine, Haley jumped in, saying that a win for Russia is a win for China, and then accused Ramaswamy of liking China.

There was also the memorable TikTok exchange between the two. Haley sniped at Ramaswamy that "every time I hear you, I feel a little bit dumber for what you say” and that he can't be trusted as he justified his choice to join TikTok after being convinced by influencer and boxer Jake Paul to join despite previously calling it "digital fentanyl." TikTok was created by Chinese company ByteDance and lawmakers have scrutinized the app over security concerns. (Ads for TikTok are also airing on Fox Business Network during commercial breaks.)

Scott also accused Ramaswamy of being ‘bought’ by China. He was likely referencing Ramaswamy's company, Roivant Sciences, announcing 5-years ago that it was partnering with China state-owned investment company CITIC Group Corp

And Pence had a similar, pointed attack: “I'm glad Vivek pulled out of his business deal in 2018 in China -- that must have been about the time you decided to start voting in presidential elections."

It’s worth noting that Haley criticized Trump too on this front, in that case for not pursuing China aggressively enough on a host of issues: “This is where President Trump went wrong.”

– ABC News’ Kendall Ross, Libby Cathey, Soorin Kim, Abby Cruz, Nicholas Kerr, and Oren Oppenheim