 Runyan, an opponent of the PPACA, accused Adler of "ducking and dodging my challenges to take a position on Obamacare".Adler stated that she would not have voted for the PPACA in 2010, but now believed that it should be improved instead of repealed outright; an Adler spokesman asserted that "Congress must address the rising cost of health care".Runyan declared that the health-care measure was "one of the largest tax increases on the middle class in recent memory", and that "[w]e were told that Obamacare would strengthen Medicare, but, in fact, the bill diverts $500 million from Medicare to pay for other provisions of Obamacare".