Our Healthcare System Is Failing; Medicare for All Is the Solution

The following remarks were delivered as testimony to the Congressional Progressive Caucus, Medicare for All Shadow Hearing on July 22, 2026.

Thank you for the opportunity to speak about our urgent need for Medicare for All. My name is Dr. Diljeet Singh, and as a practicing gynecologic oncologist, I do not exaggerate when I say our healthcare system is in dire straits. Every day in my clinic, I see patients struggling with the cost of healthcare: a woman on chemotherapy who cannot afford her anti-nausea prescription, or a patient forced to choose between an MRI copay and groceries for her family. If you walked through my clinic, you would know that this is no time to be tinkering with unproven reforms or complex regulations. It is long past time for Medicare for All.

I care for a part-time elementary school teacher whose health plan did not cover routine preventive care. Instead of getting regular Pap smears over the years, she arrived in my office with advanced cervical cancer. She underwent radical surgery followed by chemotherapy and radiation that fundamentally changed her body and her life—and she still has no guarantee of a cure.

Or consider another patient of mine who works two part-time jobs, with no health insurance. She ignored severe abdominal pain until it doubled her over. In the emergency room, she was told she had a potentially cancerous mass. She came to me for care, and thankfully, it turned out to be a non-cancerous ovarian cyst, cured by surgery. Yet, even in this best-case medical scenario, she still owes thousands of dollars. A treatable, curable medical problem absorbed her children’s college savings and her retirement money.

When the drive for profit outweighs patient health, professionals and patients alike are betrayed.

I am speaking to you today as president of Physicians for a National Health Program (PNHP), an organization of more than 25,000 health professionals nationwide. We are working to achieve universal single-payer healthcare—free from corporate middlemen, copays, deductibles, prior authorization, and the risk of medical debt. Similar countries around the world provide care to all while spending only half of what we spend—yet we die younger, face higher maternal mortality, and lose more newborns. We already spend enough money, but at least 35 cents of every healthcare dollar is wasted on insurance administration and corporate profit instead of patient care.

The root cause of this failure is the corporate takeover of healthcare, where financial interests take precedence over the sacred oath we swore as physicians—to prioritize our patients’ health and make evidence-based, patient-centered decisions free from third-party interference.

At PNHP, we conducted a two-year research project speaking with doctors about working in a profit-driven system where financial goals dictate clinical care. We found that doctors, like nurses, suffer from profound “moral injury”—the acute psychological harm caused by systemic barriers that prevent us from providing compassionate, evidence-based care. When the drive for profit outweighs patient health, professionals and patients alike are betrayed, driving clinicians out of medicine in increasing numbers.

Reversing this crisis requires recentering healthcare on patients and aligning with its true mission. The most commonsense solution is single-payer Medicare for All. When everybody has guaranteed access to high-quality care without financial barriers, physicians can focus solely on their patients’ needs and patients can trust that our recommendations are based on science and their healthcare needs—not corporate bottom lines.

Doctors, nurses, and patients understand that we need Medicare for All. Now we need Congress to understand the same thing—and to act with all of the urgency that this moment requires.