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"The American people are hungry for bold ideas that reform fundamental institutions that have failed them for too long. And they are looking for leaders who will take on powerful interests and fight for working people."
As Americans endure the high prices of food, gasoline, housing, medication, and more under President Donald Trump and the Republican-controlled Congress, a coalition of over 325 organizations argued Monday that "now is the time for Medicare for All."
"Our democracy is struggling, and the status quo is not working. Too many corporate-backed politicians continue to push for a 'business as usual' approach while wages stagnate, public goods and services erode, and billionaires amass grotesque amounts of wealth," says the coalition's open letter.
"How can one feel optimism for our future when over 40% of us are carrying around the burden of medical debt?" the letter asks, citing data from KFF. "How can we plan for our futures when we can't afford to go to the doctor or cover rent?"
According to the coalition:
We need an agenda that working-class people and everyday Americans can rally behind. Without one, far-right, fascist politicians are filling that void. This fascist agenda redirects people's rightful anger at our system’s failures to unjustly place blame on immigrants, low-income people, and people of color. It's time to acknowledge that failing to provide transformational policies and hope to the working class has allowed fascism to rise and hold on to power. It's time to challenge the corrupt CEOs who profit off despair. To show people real solutions that can work.
No one can fix our rigged economy overnight. Our structural inequality is decades in the making. But one piece of the solution is to take on one of the largest industries in our country: healthcare.
On Capitol Hill, Sen. Bernie Sanders (I-Vt.) and Reps. Pramila Jayapal (D-Wash.) and Debbie Dingell (D-Mich.) have repeatedly introduced the Medicare for All Act. While support for the bill among elected Democrats and the US public has grown, the legislation hasn't progressed in either chamber, which are both narrowly controlled by the GOP.
However, "we may face a once-in-a-generation opportunity to legislate on healthcare in 2029," notes the letter. While the midterms are less than five months away, enacting a federal Medicare for All system would likely require electing more members of Congress and a new president who would support such legislation in the November 2028 election.
"We need to rally behind the boldest possible reform, Medicare for All, that brings together the broadest possible movement, not overly complex incremental measures that prop up the same systems we're seeing fail under the weight of attacks by Trump and Republicans," the groups argued. "The American people are hungry for bold ideas that reform fundamental institutions that have failed them for too long. And they are looking for leaders who will take on powerful interests and fight for working people."
"Now is the time to organize and inspire!" the coalition stressed. "A small minority of skeptical healthcare policy wonks may try to convince us to scale back, that structural change isn't winnable. The reality is that alternative proposals don't move us towards Medicare for All and complicate our already broken system. Halfway measures allow corporations to continue profiting off the sick."
The letter urges members of Congress "to stop listening to the political consultants and start listening to the people," and Americans nationwide to "join us in dreaming of an economy that works for all of us. Where workers get paid a living wage and have expanded and enforced rights. A future where people can afford safe, healthy, and affordable housing and utilities. Where schools are robustly funded."
"A core part of that vision is making healthcare a human right," the letter emphasizes. "Americans understand we must get corporate greed out of our healthcare system once and for all."
The letter was circulated Monday by the consumer watchdog Public Citizen, whose healthcare policy advocate, Eagan Kemp, said in a statement that "the massive momentum for Medicare for All should serve as a wake-up call to all who profit from our broken healthcare system and those who do their bidding."
"Everyday Americans are tired of watching the pigs at the healthcare trough gorge themselves day after day while hundreds of millions of people in the wealthiest country in the world suffer from inadequate access to care, delays and denials, and crushing medical debt," Kemp argued. "Medicare for All would end the ability of corporations to put greed ahead of people's needs and would finally guarantee that everyone in the US can get the care they require."
"The movement for Medicare for All is growing by leaps and bounds because the people are demanding change," he added. "It is time those in power meet the moment and fight for the healthcare system we need and that the people are demanding, Medicare for All."
Coalition members include the Democratic Socialists of America, Indivisible, MoveOn, National Nurses United, National Organization for Women, One Fair Wage, Our Revolution, People's Action Institute, Physicians for a National Health Program, Progressive Democrats of America, RootsAction, Sunrise Movement, United We Dream Action, and other organizations that advocate for people with disabilities, seniors, women's rights, workers, and more.
"My votes will never be influenced by AIPAC or any corporate PAC because I don't take money from them," said Abdul El-Sayed.
At Thursday evening's Democratic primary debate on Mackinac Island, Michigan, former public health official and US Senate candidate Abdul El-Sayed suggested the three contenders play a game: "If you're on the stage and you have never taken a corporate PAC check from Blue Cross Blue Shield, raise your hand."
The progressive Medicare for All advocate put his hand up, while his two opponents—US Rep. Haley Stevens and state Sen. Mallory McMorrow—looked on.
El-Sayed's challenge on campaign donations from the for-profit healthcare industry followed McMorrow's comment that "people can't afford to wait for a revolution that may never come"—a remark on progressives' push to expand the existing Medicare program to the entire population that, as journalist David Sirota said, appeared recycled nearly verbatim from former US presidential candidate "Hillary Clinton's talking points from a decade ago."
The people of Michigan are sick and tired of politicians who tell us what we can't have and shouldn't fight for...
We can fight for a world where everybody can be guaranteed healthcare. pic.twitter.com/AoqNVoI4zl
— Dr. Abdul El-Sayed (@AbdulElSayed) May 28, 2026
"Well, I'll tell you this, the revolution is definitely not coming if we're not fighting for it," El-Sayed said in response to McMorrow. "Anyway, all of that is to say, I think we really can fight for a world where everybody can be guaranteed healthcare."
"It is important for us to recognize that all of these issues go back to how we finance campaigns," he added.
According to state and federal campaign finance records, Stevens' US House campaign took $2,500 from Blue Cross Blue Shield's political action committee (PAC) last year, while McMorrow took $5,500 from the PAC over the course of six years.
"The only reason we do not have Medicare for All," said Rep. Ro Khanna (D-Calif.), who has endorsed El-Sayed, "is the corruption of private health insurance money and Democrats who have been unwilling to fight for it."
One observer pointed to a recent poll showing 65% of voters support a Medicare for All system, and emphasized that "the revolution in healthcare is here despite what Mallory McMorrow thinks."
"We just need dedicated fighters like Abdul El-Sayed to make it a reality," they said.
Along with campaign donations from the for-profit healthcare industry, the topic of the powerful but increasingly toxic pro-Israel lobby came up when moderator Nolan Finley asked the candidates how they decide "how much influence" their donors have "over what you do, how you cast your vote."
"Haley Stevens, you take money from [the American Israel Public Affairs Committee]," said Finley. "Walk us through what that money means, and what it buys, and maybe what it doesn't buy."
Stevens responded by expressing her gratitude to various people whom she said had donated to her Senate campaign, including "grocery store workers" and "retired teachers," as well as pointing to political leaders who have endorsed her candidacy—but said nothing in reply to Finley's direct question about how she might be influenced by the more than $5.4 million she's received from pro-Israel lobby groups, including AIPAC, over her political career.
During a Michigan Democratic Senate debate, moderator Nolan Finley calls out Haley Stevens for completely dodging a question on how AIPAC's support of her campaign could influence her votes in the Senate.
"You're also just not answering the question." pic.twitter.com/3dGpQJ6F5R
— Heartland Signal (@HeartlandSignal) May 29, 2026
El-Sayed confronted Stevens for "just not answering the question" before offering his view on what AIPAC and other pro-Israel lobby donations "buys" from lawmakers.
Such contributions ultimately pay for "$3.5 billion sent to a foreign military that can be used here to give classes here, to provide healthcare here, to build schools here," said El-Sayed, referring to the military funding the US provides to Israel each year—including at least $16.3 billion the government has sent to Israel since it began its assault on Gaza in October 2023, helping the Israel Defense Forces to kill more than 75,000 Palestinians as the country blocked humanitarian aid and destroyed over 90% of residential buildings.
Resources for Michigan and other US states, said El-Sayed, is "where our money should be used.”
As The Detroit News reported Thursday, AIPAC has not directly sent donations to Stevens' campaign during the Senate election, but has instead appealed to its direct donors to also send contributions to Stevens.
More than 30% of donors who gave at least $200 to Stevens' campaign also donated to AIPAC since the beginning of 2025, according to The Detroit News' investigation—"well above her current primary opponents and her own benchmarks from prior US House bids."
AIPAC's apparent effort to direct its supporters to also back Stevens is legal under campaign finance law, but Ryan Grim of Drop Site News argued that the group's use of "obvious backdoor vehicles to move money to Haley Stevens only ends up making her look more corrupt."
AIPAC is hosting a fundraising page on its website, "paid for and authorized by Stevens' campaign," according to The Detroit News, while ensuring its name is not attached to the donations that are sent to the candidate through the page. Since Israel began attacking Gaza, approval of both the Israeli government and AIPAC have plummeted, particularly among Democratic voters.
Ahead of the debate, Stevens took umbrage at being asked about AIPAC's efforts to direct contributions to her campaign.
“I’m not breaking [Federal Elections Communications] laws by any stretch of the means," said Stevens. "Look, why would you ask me that question, first of all?”
Haley Stevens when pressed about AIPAC quietly funneling a massive chunk of donations to her camping and tens of millions of outside expenditures:
"Why would you ask me that question?" 💀 pic.twitter.com/LGGBeU9bJK
— umichvoter (@umichvoter) May 28, 2026
At the debate on Thursday, El-Sayed—who has rejected donations from corporate PACs—explained "what would absolutely not shape my perception" should he win the US Senate race.
"It's AIPAC money, which is being spent already in this race to pump up one of my colleagues on this stage," said El-Sayed. "I'm the only candidate today who didn't ask AIPAC for their support. I don't think that our taxpayer dollars which we pay every April ought to be going to bomb children, to fund bombs and tanks for other countries, when we got kids who can't afford basic things in our own."
Should he be elected to the Senate, he said on social media, "my votes will never be influenced by AIPAC or any corporate PAC because I don't take money from them."
"We know what high-performing health systems look like—other countries have them and are building them. It’s high time the US did better.”
An annual analysis that examines healthcare systems across nearly two dozen wealthy countries around the world once again highlighted the United States' "uniquely poor performance relative to its peers," with this year's US Health Care from a Global Perspective report focusing on "insurance coverage and access to care, affordability of care, delivery of care, and equity of health outcomes."
As advocates for expanding the US Medicare system to the entire population have long warned, the country's for-profit healthcare system—which ties the ability to get care to one's employment and allows insurance companies to boost profits by denying care to patients—"The US, on average, has the poorest health outcomes of any high-income country," the Commonwealth Fund's report reads.
The report examines the US system compared with other countries in the Organization for Economic Cooperation and Development (OECD), including the United Kingdom, France, New Zealand, Japan, and Mexico.
It finds that the US spent 18% of its gross domestic product on healthcare in 2024—nearly twice the OECD average.
Life expectancy in the US reached an all-time high in 2024, but was still among the shortest when compared to the 19 other countries, nearly five years shorter than Japan, Spain, and Switzerland, and longer than the average lifespan in Turkey and Mexico.
While the US and Mexico also both rank high on the list in terms of preventable deaths, the latter nation announced last month that it would soon be joining every other country included in the analysis by shifting to a universal, government-run healthcare system.
In the United States, the for-profit health sector—which spent a record $877.69 million on lobbying last year—contributes to the high number of avoidable deaths, which stands at 312 per 100,000 people. About 27 million Americans are still uninsured, more than 16 years after the passage of the Affordable Care Act, and the Republican Party's refusal to continue ACA subsidies last year as well as its $1 trillion in Medicaid cuts over the next decade, according to Thursday's report, are "projected to increase the number of uninsured Americans by an additional 17 million by 2034, potentially leading to more than 50,000 additional preventable deaths annually."
"By contrast, Mexico’s recently established Universal Health Service will provide all residents with access to free care at any public health institute, starting in 2027," the report states. "The US is one of the only countries to have enacted policies that reduce coverage."
High out-of-pocket costs may also contribute to poor outcomes and the high number of preventable deaths in the US, the Commonwealth Fund suggests. Americans spend $400 per person, per year, on out-of-pocket costs for prescription drugs, while people in France spend $100.
"The US is one of the only countries to have enacted policies that reduce coverage."
"In the US, where approximately 8% of the population is uninsured and one-quarter has coverage that comes with high out-of-pocket costs or deductibles, people are far more likely to forgo needed care because of costs than people in peer countries," reads the report. "This can mean not filling prescriptions, not obtaining diagnostic tests, treatment, or follow-up care, or being unable to adhere to clinician-recommended care plans."
The report also identifies the US as a country that lags behind its peers in producing new doctors, contributing to a crisis in primary care, with the US having the fewest number of primary care providers per 1,000 people. The country also has the "highest medical tuition fees of any country in our analysis," said the Commonwealth Fund.
The organization also found that in 2023, the US had nearly 19 maternal deaths for every 100,000 live births, representing a decline for the country that has long had "among the highest rates of maternal deaths related to complications of pregnancy and childbirth."
"By contrast, in 11 of the 18 countries we studied there were less than five maternal deaths per 100,000 live births," reads the report, which also notes that in the US, maternal mortality is "exceptionally high" among Black women, at 50 deaths per 100,000 live births.
"This far exceeds national maternal mortality in any of the other countries," the report states. "Inequities in access to care and patients’ care experiences—often rooted in discrimination and clinician bias—may be prime contributing factors."
Dr. Joseph Betancourt, president of the Commonwealth Fund, noted that "the US has long prided itself on having the best healthcare in the world, but the population benefits from this excellence unevenly, and it remains largely out of reach for many Americans."
"We spend more than any other nation on healthcare, so our poorer health outcomes aren’t due to a lack of resources—it is about how we choose to use them," said Betancourt. "We know what high-performing health systems look like—other countries have them and are building them. It’s high time the US did better."
"Other countries have shown that alternatives work. What’s striking isn’t the absence of solutions; it’s our reluctance to implement them."
The report does not explicitly call on the US to shift to a universal, government-funded healthcare system, but studies have shown that expanding Medicare to the entire US population, as lawmakers including Sen. Bernie Sanders (I-Vt.) and Reps. Pramila Jayapal (D-Wash.) and Alexandria Ocasio-Cortez (D-NY) have consistently demanded, would address many of the problems listed in the report.
Studies by the Congressional Budget Office and Yale University have shown that Medicare for All would save an estimated $650 billion and prevent 68,000 avoidable deaths each year.
The policy, which has been proposed in Congress numerous times, is also broadly popular; 65% of US voters—including 78% of Democrats, 71% of Independents, and 49% of Republicans—support creating a national, government-run healthcare program, according to a Data for Progress poll last year.
Despite this, both Republican and Democratic lawmakers continue to insist the proposal is unpopular and too expensive, with Michigan state Sen. Mallory McMorrow (D-8), who is running against vehement Medicare for All advocate Abdul El-Sayed in the Democratic US Senate primary, insisting recently that "the support for a true single-payer system isn't there yet."
Reginald Williams II, senior vice president at Commonwealth Fund, emphasized that it is "not inevitable" that "Americans pay more for healthcare and get less in return."
"It’s the result of different choices," he said. "Other countries have shown that alternatives work. What’s striking isn’t the absence of solutions; it’s our reluctance to implement them. The failure of the US health system is not a failure of ideas. It’s a failure of will to act on them.”