“Iowans are very discerning,” Young said. “They know I’m David Young, not Paul Ryan or President Trump.”

Democrats in the race don’t see as clear a line. D’Alessandro said any of the three Democrats would be an improvement over the incumbent and the regressive tax and spending policies of the Republican Party.

Health care offers the clearest distinction in the Democratic race. D’Alessandro advocates Medicare for all, the extension of government-run health care for the elderly to all Americans, to remove the profit motive from medicine.

“Every citizen as their birthright deserves that same care, that same dignity,” D’Alessandro said. “We’ve got to take the profit out of it.”

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