Top Democrats clash over health care at marquee Iowa event

Democratic presidential candidate Sen. Kamala Harris speaks during the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Nati Harnik)

Democratic presidential candidate Sen. Elizabeth Warren arrives to speak at the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Nati Harnik)

Democratic presidential candidate South Bend, Ind., Mayor Pete Buttigieg walks off stage after speaking at the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Nati Harnik)

Democratic presidential candidate entrepreneur Andrew Yang walks on stage to speak at the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Charlie Neibergall)

Democratic presidential candidate former Vice President Joe Biden speaks during the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Nati Harnik)

Democratic presidential candidate former Vice President Joe Biden walks on stage to speak at the Iowa Democratic Party’s Liberty and Justice Celebration, Friday, Nov. 1, 2019, in Des Moines, Iowa. (AP Photo/Charlie Neibergall)

DES MOINES, Iowa — The leading Democrats vying for their party’s presidential nomination clashed over the critical issue of health care while offering starkly contrasting visions for the nation’s ideological direction before thousands of cheering Iowa activists at a raucous event kicking off the three-month sprint to the first-in-the-nation caucuses.

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