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U.S. Rep. John Katko's campaign is doubling down on a line of attack used in a prior television commercial — that Democratic challenger Dana Balter wants to raise taxes to pay for Medicare-for-all. 

The latest 30-second ad released by Katko for Congress features Balter, D-Syracuse, on video discussing her support of Medicare-for-all and how she would fund the universal health insurance program. In interviews and public appearances, she has said that she would pay for the expansion by increasing the existing Medicare payroll tax. 

"We would pay for Medicare-for-all with a health care tax," Balter says in the clip used by Katko's campaign. 

Balter supports establishing a Medicare-for-all system. At a town hall meeting in Auburn last week, she explained why she believes such a program is necessary. 

"The goal, as I said before, is to make sure that every single person in this country has access to health insurance and health care," she said at the forum. 

The commercial also refers to Balter as "Connecticut's visiting assistant professor." She is a Connecticut native. She grew up there before moving to central New York in 2003. She has spent time in other states since then, but resumed her studies at Syracuse University in 2012. 

Last year, she was named a visiting assistant teaching professor at Syracuse University's Maxwell School. 

This is the fourth commercial released by Katko's campaign. Balter has released a few ads of her own, including a commercial criticizing Katko, R-Camillus, for supporting the GOP tax overhaul

Balter is challenging Katko in the 24th Congressional District race. The Republican congressman is seeking a third term representing the district. This is Balter's first run for political office. 

A Siena College poll found Katko leading Balter by 15 points, 54 to 39 percent. 

Election Day is Tuesday, Nov. 6. 

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