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Sanders and Clinton have different opinions on healthcare. Clinton supports Obama's Affordable Care Act and would build upon it; she also proposes modifications to the bill which would prevent pharmaceutical companies from hiking up the prices of vital drugs. Sanders supports a single-payer healthcare system that would make access universal and paid for by taxes; he also supports the effort to curtail drug companies' price increases. Under Sanders's proposal, Medicare would be expanded, and it aims to lower costs for middle class families (he claims it would lower costs by at least $5,000).