ROANOKE, Va. - Democratic presidential candidate Barack Obama said Friday that Republican rival John McCain wants to cut $882 billion from Medicare over a decade to finance his health care plan and the result would be more costly drugs, diminished services and lower quality care for seniors.
"It's entirely consistent with Senator McCain's record during his 26 years in Congress where, time and again, he's opposed Medicare," Obama said. "In fact, Senator McCain has voted against protecting Medicare 40 times."
In response, McCain's campaign issued a statement saying Obama was "simply lying." The statement said the Republican planned to trim spending, but said his plans "do not cut a single benefit."
Ahead in the national polls, Obama made his charge as he campaigned in a traditionally Republican state where he has invested heavily in hopes of collecting 13 electoral votes.
He is spending far more on television advertising in Virginia than McCain and has 50 offices statewide. The trip was his seventh here since wrapping up the Democratic nomination in June.
Still, in a state that once boasted the capital of the Confederacy, Obama's campaign indicated it understands the challenge involved in trying to elect the nation's first black president.
Democratic Sen. Jim Webb never mentioned race as he introduced Obama to the predominantly white crowd at the Roanoke Civic Center in the southwestern part of the state.
But, he said, "Barack Obama's father was born in Kenya. Barack Obama's mother was born in Kansas by way of Kentucky," he said, adding that Obama would be the "14th president of the United States whose ancestry and whose family line goes back" in the region.
"You can trust him. I trust him," Webb added.
Obama's remarks on Medicare amounted to a new front in the campaign's health care wars, and were aimed at persuading older voters to abandon McCain.
McCain wants to provide tax credits to encourage Americans to purchase private health insurance. To pay for it, he has proposed requiring workers to pay income taxes on the health benefits they now receive tax-free from their employers.
McCain's campaign says additional funding will be required to cover the cost of the program.
"It turns out, Senator McCain would pay for part of his plan by making drastic cuts in Medicare - $882 billion worth, $882 billion in Medicare cuts to pay for an ill-conceived health care plan, even as Medicare already faces a looming shortfall," Obama said.
In response, Doug Holtz-Eakin, an economics adviser for McCain, said whatever amount of Medicare the Republican decides to trim, "The important thing is those savings do not come at the expense of either the quality or the quantity of health care America's seniors will receive."