Health care was center stage during Thursday night's debate as the candidates try and acquire every last vote during this home stretch.
Older voters, those 65 and up, are civic-minded, passionate, consistently vote and makeup nearly a quarter of registered voters in Pennsylvania.
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Some older Pennsylvanians sounded off Friday about what was on the top of their minds this election.
"I have concerns about foreign affairs," said Nancy Raynor.
George Feder of Havertown said, "Social security, Supreme Court, violence, a whole bunch of things."
"Health care, social security," said Marylou Brogan.
During the final presidential debate, former Vice President Joe Biden declared Bidencare's version of Obamacare would have a new public option. Addressing older voters, he said he'll have Medicare negotiate lower prescription prices.
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President Donald Trump has called for a cut in the payroll tax, but said he'll use general funds to reimburse the program.
"Every debate they don't even bring up social security or Medicare or health care for the most part, which is very frustrating for AARP," said Bill Johnston, the state director for the American Association of Retired Persons.
Johnson called Pennsylvania a critical state and the older vote could be the difference. He said his organization's polling shows while most voters have made up their minds, some suburban women are still on the fence.
"Especially out in the western part of the state. So they're the undecided voters," said Johnson.
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But what was said during the debate could be up for debate.
The non-partisan civic initiative, USAFacts.org, reports 40% of Americans say it's difficult to determine if a candidate is telling the truth.
Feder echoed that sentiment saying, "I don't know who to believe anymore. I don't think Trump knows what he is doing. It makes me very uncomfortable."
Also fresh on the minds of older voters is the pandemic. Some have questioned the president's handling of COVID-19, especially how it impacted nursing homes and the elderly.
The president has said he has been in a no-win situation but moved fast to close our borders and prevent a faster spread.