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

Highlights from the final presidential debate before Election Day.

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.


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Biden pitches 'Bidencare' as Trump slams the Affordable Care Act

Biden said if he is elected he would pass Obamacare with a public option, deeming it "Bidencare," and outlining his plan.

"If you qualify for Medicaid and you do not have the wherewithal in your state to get Medicaid, you're automatically enrolled, providing competition for insurance companies," Biden said.

"Secondly, we're going to make sure we reduce the premiums and reduce drug prices by making sure that there's competition that doesn't exist now, by allowing Medicare to negotiate drug prices with the insurance companies," he said.

Biden said private insurance would be protected under his plan.

"Thirdly, the idea that I want to eliminate private insurance -- the reason why I had such a fight for -- with 20 candidates for the nomination, was I support private insurance," Biden said. "Not one single person with private insurance would lose their insurance under my plan, nor did they under Obamacare."

"Lastly, we're going to make sure we're in a situation that we actually protect pre-existing conditions. There's no way he can protect pre-existing conditions. None. Zero," Biden said, as the Trump administration seeks to dismantle the entire Affordable Care Act which currently protects them.

Trump said earlier, "I'd like to terminate Obamacare, come up with a brand-new beautiful health care."


Trump vs. Biden on the issues: Health

With unprecedented unemployment in the United States, where health care is inextricably linked to employment, and a coronavirus pandemic ravaging the globe, it's safe to say that on Nov. 3, health is on the ballot.

As it stands, more than 220,000 Americans have died of COVID-19. Another roughly 13 million are unemployed.

Health might be a political football in 2020, but it's also a deeply personal issue that affects every American voter. Given health's crucial significance this year, the nonprofit Commonwealth Fund polled 4,220 likely voters in battleground states between Aug. 25 and Sept. 20 on which health care issues mattered most to them, and which candidate -- Trump or Biden -- they thought would be more likely to address those health concerns.

Here's what the American public said about which health care issues they care about.

-ABC News' Erin Schumaker


Fact Check: Biden incorrectly attributes mask warning to Trump advisers

BIDEN'S CLAIM: "The expectation is we'll have another 200,000 Americans dead in the time between now and the end of the year. If we just wore these masks, the president's own advisers have told him, we could save 100,000 lives."

FACT CHECK: The president's advisers haven't used this estimate, though the head of the Centers for Disease Control and Prevention has strongly recommended wearing them. A modeling study by the University of Washington estimated at one point that if most Americans wore masks, it could save 100,000 lives by the end of the year. That estimate has been repeated by Tom Frieden, who led the CDC under President Barack Obama.

Dr. Robert Redfield, the current head of the CDC under Trump, has not made such a statement.

According to his office, he has said that the pandemic could begin to come under control in eight to 12 weeks "if all people living in America wore a face mask, were smart about social distancing and crowds, and practiced good hand hygiene."

-ABC News' Anne Flaherty


Trump attacks Biden for appealing to families after answer on China

Trump and Biden took questions on how to deal with China more broadly amid transparency concerns with the Chinese government. After Biden said he would make China “play by the international rules,” Trump touted $28 billion in subsidies given to farmers during his administration affected by the U.S.-China trade war.

“First of all, China is paying. They're paying billions and billions of dollars. I just gave $28 billion to our farmers,” Trump said, before Biden interrupted, “That’s taxpayers' money.”

Given a chance to respond, Biden turned to families at home.

“There's a reason why he's bringing up all this malarkey. There's a reason for it. He doesn't want to talk about the substantive issues. It's not about his family and my family. It's about your family and your family is hurting badly,” Biden said.

“Are we going to be able to pay the mortgage? Who's going to tell her she can't go back to community college? They're the decisions you're making in the middle-class families like I grew up in Scranton and Claymont. They're in trouble. We should be talking about your families, but that's the last thing he wants to talk about,” Biden added.

Trump scoffed at Biden's answers and took the chance to define himself as not another “typical politician.”

“That is a typical statement,” Trump responded. “That's a typical political statement. Let's get off this China thing. He looks at the family around the table, just a typical politician. I'm not a typical politician. That's why I got elected. Let's get off the subject of China. Let's talk around sitting around the table. Come on, Joe. You can do better.”


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

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