 In the campaign, Medicare and the Patient Protection and Affordable Care Act (PPACA) emerged as significant issues.Adler released a television commercial accusing Runyan of seeking to dismantle Medicare, declaring "Congressman Runyan is in favor of balancing the budget on the backs of seniors"; the commercial stated that Runyan wanted "to raise Medicare costs $6,400 a year".Runyan countered that the changes he supported would ensure the long-term health of the medical program, and that they would have no effect on people currently aged 55 or above.