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Health Care Takes Center Stage in Battle for Congress During Pandemic Health Care Takes Center Stage in Battle for Congress During Pandemic
(about 5 hours later)
WASHINGTON — In his two newest campaign advertisements, Gov. Steve Bullock of Montana portrays himself as a health care savior, featuring local nurses who say his expansion of public health insurance rescued Montanans and their hospitals.WASHINGTON — In his two newest campaign advertisements, Gov. Steve Bullock of Montana portrays himself as a health care savior, featuring local nurses who say his expansion of public health insurance rescued Montanans and their hospitals.
Steve Daines, the first-term Republican senator whom Mr. Bullock is trying to unseat, has his own ad, accusing the governor, a Democrat, of favoring “government-controlled” health care.Steve Daines, the first-term Republican senator whom Mr. Bullock is trying to unseat, has his own ad, accusing the governor, a Democrat, of favoring “government-controlled” health care.
The dueling commercials illustrate a reality of the accelerating campaign season, which is entering a crucial period as the coronavirus pandemic continues to rage: Health care is shaping up as a driving force in deciding the outcome in November.The dueling commercials illustrate a reality of the accelerating campaign season, which is entering a crucial period as the coronavirus pandemic continues to rage: Health care is shaping up as a driving force in deciding the outcome in November.
Its salience has been amplified by the pandemic and accompanying job losses that have left millions of Americans anxious about their own health and ability to pay medical bills. And the contrast between Republicans and Democrats could not be starker than it has been in recent weeks, as the Trump administration pushed forward with its efforts to persuade the Supreme Court to jettison the Affordable Care Act once and for all, and House Democrats countered by passing a bill to expand it.Its salience has been amplified by the pandemic and accompanying job losses that have left millions of Americans anxious about their own health and ability to pay medical bills. And the contrast between Republicans and Democrats could not be starker than it has been in recent weeks, as the Trump administration pushed forward with its efforts to persuade the Supreme Court to jettison the Affordable Care Act once and for all, and House Democrats countered by passing a bill to expand it.
The fight over health care is being waged at the presidential level, in all of the competitive Senate races and in House contests across the country. Democrats intend to press what they see as their advantage over Republicans, who for years have called for dismantling the health care law — voting to repeal it and supporting President Trump’s legal efforts to overturn it — while failing to agree on an alternative plan.The fight over health care is being waged at the presidential level, in all of the competitive Senate races and in House contests across the country. Democrats intend to press what they see as their advantage over Republicans, who for years have called for dismantling the health care law — voting to repeal it and supporting President Trump’s legal efforts to overturn it — while failing to agree on an alternative plan.
Democrats are eager to replay their winning strategy of 2018, when they won control of the House by emphasizing that Republicans were threatening to strip away protections for pre-existing health conditions and leave sick Americans on their own.Democrats are eager to replay their winning strategy of 2018, when they won control of the House by emphasizing that Republicans were threatening to strip away protections for pre-existing health conditions and leave sick Americans on their own.
“It’s 2018 again, but on steroids,” said Leslie Dach, the chairman of the liberal advocacy group Protect Our Care, which has been fighting Republican efforts to overturn the Affordable Care Act. “Trump has put the Republican Party totally on the wrong side of this.”“It’s 2018 again, but on steroids,” said Leslie Dach, the chairman of the liberal advocacy group Protect Our Care, which has been fighting Republican efforts to overturn the Affordable Care Act. “Trump has put the Republican Party totally on the wrong side of this.”
The battle is also likely to figure prominently in the coming negotiations over the next coronavirus recovery package in Congress, which Republicans are planning to use as a vehicle to try to redeem themselves with voters on health care by offering provisions aimed at meeting medical needs stemming from the pandemic. Top Republicans say they see their legislative response to the virus as paramount to voters.The battle is also likely to figure prominently in the coming negotiations over the next coronavirus recovery package in Congress, which Republicans are planning to use as a vehicle to try to redeem themselves with voters on health care by offering provisions aimed at meeting medical needs stemming from the pandemic. Top Republicans say they see their legislative response to the virus as paramount to voters.
“I think the virus spending is more important than the other health care issues,” said Senator Roy Blunt, the Missouri Republican who chairs the Appropriations subcommittee on health spending and is involved in Republican efforts to assemble the plan to be unveiled this month.“I think the virus spending is more important than the other health care issues,” said Senator Roy Blunt, the Missouri Republican who chairs the Appropriations subcommittee on health spending and is involved in Republican efforts to assemble the plan to be unveiled this month.
Democrats and their allies say they do not believe that any action before November by Senate Republicans will be enough to neutralize the issue, given the party’s extensive history of trying to overturn the health care law without putting forth any alternative. They point to recent polls that show Democrats are far more trusted on health care than congressional Republicans or Mr. Trump.Democrats and their allies say they do not believe that any action before November by Senate Republicans will be enough to neutralize the issue, given the party’s extensive history of trying to overturn the health care law without putting forth any alternative. They point to recent polls that show Democrats are far more trusted on health care than congressional Republicans or Mr. Trump.
And they are pressing their case in campaigns across the country through an array of ads aimed at Republicans. Last week, Protect Our Care began a $2 million advertising campaign in Arizona, Michigan and Wisconsin — all key battlegrounds — condemning Mr. Trump’s response to the pandemic. One highlighted the toll the virus had taken on those in nursing homes and other older Americans.And they are pressing their case in campaigns across the country through an array of ads aimed at Republicans. Last week, Protect Our Care began a $2 million advertising campaign in Arizona, Michigan and Wisconsin — all key battlegrounds — condemning Mr. Trump’s response to the pandemic. One highlighted the toll the virus had taken on those in nursing homes and other older Americans.
“This crisis did not have to be as bad as it was,” a health care worker says at the end of one such spot.“This crisis did not have to be as bad as it was,” a health care worker says at the end of one such spot.
On Thursday, Majority Forward, a group aligned with Democrats, began part of a $3 million ad campaign in Georgia accusing Senator David Perdue, the Republican incumbent, of siding with insurance companies over beneficiaries, “even during a pandemic.” The group began a similar seven-figure effort in Colorado against Senator Cory Gardner, the endangered Republican incumbent.On Thursday, Majority Forward, a group aligned with Democrats, began part of a $3 million ad campaign in Georgia accusing Senator David Perdue, the Republican incumbent, of siding with insurance companies over beneficiaries, “even during a pandemic.” The group began a similar seven-figure effort in Colorado against Senator Cory Gardner, the endangered Republican incumbent.
In one of his first ads after securing the Democratic Senate nomination to oppose Mr. Gardner, John Hickenlooper, the former Colorado governor, called it “lunacy” that the Trump administration would press a lawsuit to overturn the Affordable Care Act during a pandemic. These efforts follow earlier health care attacks on Senators Martha McSally of Arizona, Thom Tillis of North Carolina and Joni Ernst of Iowa, all incumbent Republicans.In one of his first ads after securing the Democratic Senate nomination to oppose Mr. Gardner, John Hickenlooper, the former Colorado governor, called it “lunacy” that the Trump administration would press a lawsuit to overturn the Affordable Care Act during a pandemic. These efforts follow earlier health care attacks on Senators Martha McSally of Arizona, Thom Tillis of North Carolina and Joni Ernst of Iowa, all incumbent Republicans.
Democrats say voter anxiety about health care has been exacerbated by the Trump administration’s decision to again ask the Supreme Court to take the health care law off the books. The administration filed an extensive brief making its case in late June, joining Republican officials from 18 states in calling for action that could eliminate coverage for as many as 23 million Americans. Democrats are eager to pounce.Democrats say voter anxiety about health care has been exacerbated by the Trump administration’s decision to again ask the Supreme Court to take the health care law off the books. The administration filed an extensive brief making its case in late June, joining Republican officials from 18 states in calling for action that could eliminate coverage for as many as 23 million Americans. Democrats are eager to pounce.
“Health care is a major issue for voters and a liability for every Senate Republican on the ballot,” said Lauren Passalacqua, a spokeswoman for the Democratic Senatorial Campaign Committee. She noted that Republican leaders were “in court right now trying to tear down health care access in the middle of a pandemic. It’s reckless and out of touch, and we’ll make sure voters have the facts in November.”“Health care is a major issue for voters and a liability for every Senate Republican on the ballot,” said Lauren Passalacqua, a spokeswoman for the Democratic Senatorial Campaign Committee. She noted that Republican leaders were “in court right now trying to tear down health care access in the middle of a pandemic. It’s reckless and out of touch, and we’ll make sure voters have the facts in November.”
Even some Republicans say the lawsuit is seriously misguided.Even some Republicans say the lawsuit is seriously misguided.
“It was never a good move — never,” said Senator Susan Collins of Maine, who is facing a steep re-election challenge and was one of three Republicans to oppose the repeal of the health care law in 2017. “But to do it in the midst of a pandemic defies logic.”“It was never a good move — never,” said Senator Susan Collins of Maine, who is facing a steep re-election challenge and was one of three Republicans to oppose the repeal of the health care law in 2017. “But to do it in the midst of a pandemic defies logic.”
Other Republicans are leery of the lawsuit’s timing but reluctant to oppose it given the longstanding opposition to the health care law among conservative voters, for whom calls for repeal of the Affordable Care Act have become dogma. Endangered Republicans are bracing for the attacks.Other Republicans are leery of the lawsuit’s timing but reluctant to oppose it given the longstanding opposition to the health care law among conservative voters, for whom calls for repeal of the Affordable Care Act have become dogma. Endangered Republicans are bracing for the attacks.
“I’m sure they’re going to try to make the most of it,” said Senator John Cornyn, a Texas Republican on the ballot this year.“I’m sure they’re going to try to make the most of it,” said Senator John Cornyn, a Texas Republican on the ballot this year.
He and other Republicans say their support for repealing the health care law does not equate to ending coverage for pre-existing conditions — a top concern of voters worried about their coverage.He and other Republicans say their support for repealing the health care law does not equate to ending coverage for pre-existing conditions — a top concern of voters worried about their coverage.
“First and foremost, regardless of what is going on, we need to ensure that those with pre-existing conditions are being taken care of,” Ms. Ernst said.“First and foremost, regardless of what is going on, we need to ensure that those with pre-existing conditions are being taken care of,” Ms. Ernst said.
Updated July 7, 2020 Updated July 15, 2020
The coronavirus can stay aloft for hours in tiny droplets in stagnant air, infecting people as they inhale, mounting scientific evidence suggests. This risk is highest in crowded indoor spaces with poor ventilation, and may help explain super-spreading events reported in meatpacking plants, churches and restaurants. It’s unclear how often the virus is spread via these tiny droplets, or aerosols, compared with larger droplets that are expelled when a sick person coughs or sneezes, or transmitted through contact with contaminated surfaces, said Linsey Marr, an aerosol expert at Virginia Tech. Aerosols are released even when a person without symptoms exhales, talks or sings, according to Dr. Marr and more than 200 other experts, who have outlined the evidence in an open letter to the World Health Organization.The coronavirus can stay aloft for hours in tiny droplets in stagnant air, infecting people as they inhale, mounting scientific evidence suggests. This risk is highest in crowded indoor spaces with poor ventilation, and may help explain super-spreading events reported in meatpacking plants, churches and restaurants. It’s unclear how often the virus is spread via these tiny droplets, or aerosols, compared with larger droplets that are expelled when a sick person coughs or sneezes, or transmitted through contact with contaminated surfaces, said Linsey Marr, an aerosol expert at Virginia Tech. Aerosols are released even when a person without symptoms exhales, talks or sings, according to Dr. Marr and more than 200 other experts, who have outlined the evidence in an open letter to the World Health Organization.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
The issue has surfaced in dozens of House races as well. In Central Illinois, where Betsy Dirksen Londrigan, a Democrat, fell one percentage point short of defeating Representative Rodney Davis in 2018, she is hammering a health care-centric message against him in the rematch contest. She held a news conference two days after the House vote to expand the health care law in which she condemned Mr. Davis’s vote against the bill, saying that he and other Republicans had waged “an all-out assault on the Affordable Care Act and on people with pre-existing conditions.”The issue has surfaced in dozens of House races as well. In Central Illinois, where Betsy Dirksen Londrigan, a Democrat, fell one percentage point short of defeating Representative Rodney Davis in 2018, she is hammering a health care-centric message against him in the rematch contest. She held a news conference two days after the House vote to expand the health care law in which she condemned Mr. Davis’s vote against the bill, saying that he and other Republicans had waged “an all-out assault on the Affordable Care Act and on people with pre-existing conditions.”
Mr. Davis issued a statement calling the Democratic measure “partisan legislation that does nothing to lower the overall cost of health care.” His campaign assailed Ms. Londrigan’s support for “Medicare X” legislation that would allow people to buy in to a new public health insurance plan that used Medicare’s network of providers and would be similarly priced, saying it would devastate health care providers.Mr. Davis issued a statement calling the Democratic measure “partisan legislation that does nothing to lower the overall cost of health care.” His campaign assailed Ms. Londrigan’s support for “Medicare X” legislation that would allow people to buy in to a new public health insurance plan that used Medicare’s network of providers and would be similarly priced, saying it would devastate health care providers.
Yet Republicans concede they have not put forward a comprehensive alternative to the health care law despite Mr. Trump’s promise to deliver better and cheaper coverage. They are now pledging to put significant health care aid in the pandemic response legislation that Congress hopes to deliver by the beginning of August.Yet Republicans concede they have not put forward a comprehensive alternative to the health care law despite Mr. Trump’s promise to deliver better and cheaper coverage. They are now pledging to put significant health care aid in the pandemic response legislation that Congress hopes to deliver by the beginning of August.
“I think on the health care part, there’s realization we’re going to have to do more, because unfortunately, in some of our states, we’ve seen the numbers start to go back up again,” Senator Rob Portman, Republican of Ohio, said this month.“I think on the health care part, there’s realization we’re going to have to do more, because unfortunately, in some of our states, we’ve seen the numbers start to go back up again,” Senator Rob Portman, Republican of Ohio, said this month.
Democrats and their allies say that any health care push by Republicans is likely to be too little too late to blunt the political consequences of their records.Democrats and their allies say that any health care push by Republicans is likely to be too little too late to blunt the political consequences of their records.
“In 2018, health care helped cost them the House,” said Jesse Ferguson, a Democratic strategist who specializes in health care policy. “Since then, they’ve added a dash of lawsuit and poured it over a bed of coronavirus — all of which made it even worse for them.”“In 2018, health care helped cost them the House,” said Jesse Ferguson, a Democratic strategist who specializes in health care policy. “Since then, they’ve added a dash of lawsuit and poured it over a bed of coronavirus — all of which made it even worse for them.”
In Montana, Mr. Daines decided to take the offensive with his ad, in a which a doctor in the state says the senator supports coverage for pre-existing conditions, while Mr. Bullock is aligned with Speaker Nancy Pelosi and former Vice President Joseph R. Biden Jr., whose “liberal” plan would put “government bureaucrats between me and my patients.”In Montana, Mr. Daines decided to take the offensive with his ad, in a which a doctor in the state says the senator supports coverage for pre-existing conditions, while Mr. Bullock is aligned with Speaker Nancy Pelosi and former Vice President Joseph R. Biden Jr., whose “liberal” plan would put “government bureaucrats between me and my patients.”
“Democrats showed the entire county what their objectives are on health care during the presidential primary: a government-controlled plan that seeks to eliminate employer-based coverage,” said Jesse Hunt, a spokesman for the National Republican Senatorial Committee.“Democrats showed the entire county what their objectives are on health care during the presidential primary: a government-controlled plan that seeks to eliminate employer-based coverage,” said Jesse Hunt, a spokesman for the National Republican Senatorial Committee.
During his brief presidential run, Mr. Bullock broke with progressive Democratic rivals in opposing the Medicare for All plan in favor of adding a public option to the Affordable Care Act. In his own ad, the governor wins praise for bringing Republican and Democratic legislators together to agree to expand federal Medicaid coverage that his campaign says has been a lifeline to rural hospitals.During his brief presidential run, Mr. Bullock broke with progressive Democratic rivals in opposing the Medicare for All plan in favor of adding a public option to the Affordable Care Act. In his own ad, the governor wins praise for bringing Republican and Democratic legislators together to agree to expand federal Medicaid coverage that his campaign says has been a lifeline to rural hospitals.
Seeing the issue as a winner, Democrats say they welcome attempts by Mr. Daines and other Republicans to push the health care debate to the forefront.Seeing the issue as a winner, Democrats say they welcome attempts by Mr. Daines and other Republicans to push the health care debate to the forefront.
“I think Democrats in general are totally fine with having that fight with our Republican opponents,” said Olivia Bercow, a spokeswoman for Mr. Bullock.“I think Democrats in general are totally fine with having that fight with our Republican opponents,” said Olivia Bercow, a spokeswoman for Mr. Bullock.