By James Oliphant MIAMI (Reuters) - Democratic presidential contender Bernie Sanders defended his big-spending plans for government-operated healthcare during the early stages of a debate on Thursday, but acknowledged some Americans would pay more taxes to implement it. On the second night of back-to-back Democratic debates, Sanders said his Medicare-for-All healthcare plan would be fully paid for and reduce premiums for many but that some in the middle class might pay more. "Yes, they will pay more in taxes but less in healthcare for what they get," Sanders said as the debate in Miami got started.
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