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Instead she aimed to turn the question to overall costs.

“Let me be clear on this,” she said. “I will not sign a bill into law that does not lower costs for middle class families.”

She repeatedly refused to say.

Mayor Pete Buttigieg immediately pounced.

“A yes or no question that did not get a yes or no answer,” he said, saying it sounded like the type of things Americans hate about Washington. He added, “Your signature senator is to have a plan for everything: Except this.”

Mr. Buttigieg then pitched his “Medicare for all who want it.” When Ms. Warren’s turn came, she said that Mr. Buttigieg’s vision amounts to “Medicare for all who can afford it.”

Mr. Buttigieg came back and said Ms. Warren would “obliterate” the private health insurance of 150 million Americans. “It’s just better than Medicare for all whether you want it or not,” Mr. Buttigieg said, rebranding Ms. Warren’s plan in a more negative light.

Senator Amy Klobuchar followed up with her own hit on Ms. Warren.

“At least Bernie’s being honest here,” Ms. Klobuchar interrupted, addressing Ms. Warren as “Elizabeth,” saying Americans deserved to know where the “invoice” was going.

Ms. Klobuchar continued, dismissing Ms. Warren’s ideas as unrealistic, declaring there is a “difference between a plan and pipe dream.”

It fell to Mr. Sanders to explain exactly what Medicare for all would require.

“Taxes will go up,” he said, before explaining that costs will go down because, under his plan, medical insurance premiums and co-pays would be eliminated.