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Residents and experts in the 19th District - a sprawling, largely rural seat that encompasses a chunk of the Catskill Mountains - say it often mirrors the national political mood. The district backed President Barack Obama by 6 percentage points in 2012 before flipping to support President Donald Trump by 7 points in 2016.

Now, the district reflects the national debate over health care as Delgado and his party push to take control of the House. Delgado has tried to leverage Democratic opposition to the GOP's plan to repeal Obamacare, even as Republicans peg him as too extreme for the seat. Both candidates have accused the other of distorting their records on health care in an increasingly heated contest.

In March 2017, in one of his first major decisions, Faso gave a critical "yes" vote as the House GOP plan to repeal and replace Obamacare narrowly passed. The Republican's support for the bill has become a major attack point for Delgado, who on Friday accused the GOP of trying to "decimate every bit of health care we've got."

Faso, 66, told CNBC he does not regret the vote. He accused Delgado of warping his record on the issue.

"No, I don't regret it, because the Affordable Care Act has not lived up to its promise, and we do need to fix it. ... So I don't regret the vote in the least," Faso said at a Richmondville, N.Y., firehouse as mostly older constituents ate dinner at a spaghetti fundraiser on Friday. He said he supports the Obamacare provision barring insurers from denying coverage to people with pre-existing conditions, adding that the issue is personal because his wife had surgery for cancer in the past.

The state of the 19th District race

Numerous polls have found health care is the most important issue for voters around the country this year. It weighs heavily on minds in New York's 19th District, as well.

Twenty-nine percent of voters there identified health care as their top issue this year, ahead of immigration, gun control or tax policy, according to a Monmouth University poll taken last month. Self-identified liberals, moderates, Delgado supporters and undecided voters listed it as their primary concern, while self-described conservatives and Faso backers ranked immigration as their main priority. The survey showed narrow leads for Delgado under three separate voter turnout models in a race top forecasters rate a toss-up.

The vast district, which covers all or part of 11 New York counties, roughly matches the rest of the country on some key indicators. It had a median household income of about $61,600 and an unemployment rate of 5 percent last year, slightly lower than and in line with, respectively, the median for all congressional districts.

The share of the population without insurance coverage was 4.9 percent in 2017, lower than the median of 7.6 percent for all districts. An estimated 22,100 people enrolled in Obamacare marketplaces in the 19th District in 2017, about in line with the median GOP-held congressional seat, according to the Kaiser Family Foundation. More than 2 million people had enrolled in Medicaid expansion in the entire state of New York as of 2016, Kaiser estimated.

"I promise, I promise, I promise," Faso says in the video. It goes on to allege that he "broke that promise" by casting his vote for the Republican health care plan.

The GOP representative took issue with the attack. He told CNBC that Mitchell is covered by Medicaid and is "not affected by this one way or the other."

He took issue with another Delgado attack aimed at senior voters. In a TV ad, the Democratic candidate says Faso "paved the way for an age tax on seniors." While the GOP plan would allow insurers to raise premiums for some older Americans, it would not affect New York residents due to an existing law barring insurers from charging higher rates based on age, according to PolitiFact.

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patient protection and affordable care act

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This bitter House race in New York shows how health care is dominating the battle for Congress

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Residents and experts in the 19th District - a sprawling, largely rural seat that encompasses a chunk of the Catskill Mountains - say it often mirrors the national political mood. The district backed President Barack Obama by 6 percentage points in 2012 before flipping to support President Donald Trump by 7 points in 2016.

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Shows How DCC is really aganist Faso's stance on health care

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https://censusreporter.org/profiles/50000US3619-new-york-congressional-district-19/

https://www.nytimes.com/2018/10/01/nyregion/antonio-delgado-rapper.html

https://delgadoforcongress.com/issues-list/

https://faso.house.gov/

https://www.bestplaces.net/economy/county/new_york/dutchess

https://www.nytimes.com/interactive/2018/upshot/elections-poll-ny19-3. https://www.opensecrets.org/races/summary?cycle=2018&id=NY19 html

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Congressional Leadership Fund committed to spending an additional $650,000 on this race in September 2018.

The House Majority PAC spent $41,000 to support Delgado in September 2018.

The National Association of Realtors made a $475,000 ad buy to support Faso in October 2018.

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I believe Antonio Delgado will win.This is because most people in the district are registered democrats, and he has a stance on Universal Healthcare in a region that is more elderly. On the other hand John Faso has more experience, and District 19 did vote in Trump after Obama twice

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~ Predicted Delgado to win by a close margin
~small sample 501 people

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Our poll shows a close race.

But remember: It's just one poll, and we talked to only 505 people. Each candidate's total could easily be five points different if we polled everyone in the district. And having a small sample is only one possible source of error.

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Midterm Election Poll: New York's 19th District, Faso vs. Delgado

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But remember: It's just one poll, and we talked to only 505 people. Each candidate's total could easily be five points different if we polled everyone in the district. And having a small sample is only one possible source of error.

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Money Spent: $3,093,299

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Money Spent: $7,081,167

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*Health Care and Social Services
*Educational Services

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IBM Corporation

Vassar Brothers Medical Center

Mid Hudson Regional Hospital of Westchester Medical Center

GAP/Old Navy

Culinary Institute of America

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~ 700,000 people
~Older Population
~ 84% White, highly educated
~152,792 registered Democratic
~ 147,025 registered Republican
~470,289 total registered
~Voted Obama both terms and Trump

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~Incumbent
~First Term
~Attorney, High Education
~Lyme Disease(local) and Heroin Epidemic(national) his big issues
~Endorsed by NRA

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~ Harvard + Oxford graduate
~Attorney,Rhode Scholar
~First Time Running for Office
~Endorsed by Barack Obama
~Universal Health Care is his big issue ( national)

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Diane Neal (I)
Steven Greenfield(G)

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Republican Candidate

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Democratic Candidate