Gavel on flag U.S. Sen. Bernie Sanders (I-Vt.) advocates a single-payer national health care program that he calls Medicare for All, but it's not that straightforward. (Photo: Shutterstock)

MODESTO, Calif. — Betsy Foster and Doug Dillon are devotees of Josh Harder. The Democratic upstart is attempting to topple Republican House incumbent Jeff Denham in this conflicted, semi-rural district that is home to conservative agricultural interests, a growing Latino population and liberal San Francisco Bay Area refugees.

To Foster's and Dillon's delight, Harder supports a “Medicare-for-all” health care system that would cover all Americans.

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