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MINNETONKA, MINNESOTA - JULY 15: Health care advocates risk arrest protesting care denials at UnitedHealthcare on July 15, 2024 in Minnetonka, Minnesota. (Photo by David Berding/Getty Images for People's Action Institute)

If we do not inspire, energize, and organize the largest grassroots movement in history, including the multiracial working class, everyday Americans, and everyone else hurt by our broken health care system, by demanding real material changes like Medicare for All, then we risk losing millions more people to the false promises of authoritarians and their corporate allies. 

An Open Letter to those seeking to reform our health care system:

Dream Bigger, Be Effective:

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. 

The reality that far too many live today is one of debt and struggle. Working people feel a deep sense of alienation and powerlessness due to the state of our economy, which is rigged to benefit corporations and wealthy elites. How can one feel optimism for our future when over 40% of us are carrying around the burden of medical debt? How can we plan for our futures when we can’t afford to go to the doctor or cover rent?  

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: health care. 

We may face a once-in-a-generation opportunity to legislate on health care in 2029. 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 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! Support for Medicare for All grows daily in our communities and in Congress. It’s our best path forward, and it’s rooted in real promise: everybody in, nobody out. 

A small minority of skeptical health care 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. 

We must dream bigger. In fact, 90% of Democratic voters and 63% of all voters support Medicare for All.  Americans believe the government should guarantee health care to everyone, and anything less means tens of millions of people in the U.S. continuing to suffer from the lack of necessary care and the prospect of medical debt if they do seek care. 

We can’t give in to half measures; we must fight for exactly what people need and deserve. Medicare for All is the only way that we can guarantee everyone’s care and finally take the profit-motive and corporate influence out of health care. 

We are seeing record support for the Medicare for All Act in the Senate, and more than half of the House Democratic caucus members have already signed on. Politicians fighting for Medicare for All are reaping the rewards of being on the right side of history. Billionaires and their cronies have already begun their attacks against Medicare for All, and that speaks to the power of this issue and its ability to rally everyday Americans. 

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 health care a human right.

We urge members of Congress to stop listening to the political consultants and start listening to the people. Americans understand we must get corporate greed out of our health care system once and for all. 

Meet the moment: Join the fight for Medicare for All 

Signed,

4 Positive Choices 

Action Center on Race and the Economy (ACRE)

Action North Carolina

Action Together Florida

Activate Maine

Actors’ Equity Association 

AIDS Healthcare Foundation 

All Unions Committee for Single Payer Health Care

Alternatives

American Federation of Teachers Retirees-Washington

American Friends Service Committee

American Humanist Association

American Postal Workers Union (APWU)

Americans for Democratic Action-Southern California

Association of Flight Attendants-CWA (AFA-CWA)

Baltimore County Progressive Democrats Club 

Baltimore Nonviolence Center

Beta Cell Action 

Black Coalition for Safe Motherhood

Black Nurses Rock Delaware Chapter 

Blue Future

Bulletproof Pride

Butte County Health Care Coalition

California Nurses Association

California OneCare Education Fund

Californians for Disability Rights Inc.

Camano Island Democrats 

Campaign for America’s Future

Campaign for New York Health

Cape Cod Coalition for Universal Health Care 

Center for Common Ground

Center for Health Progress

Center for Independence of the Disabled, New York (CIDNY) 

Charlotte-Metrolina Labor Council 

Chicago Women Take Action

Chinese-American Planning Council (CPC) 

Colorado Foundation for Universal Health Care

Colorado Health Care Coalition

Committee of Interns and Residents-SEIU Healthcare (CIR-SEIU)

Communications Workers of America Local 3641 

Communities United for Action

Community Change Action

Community Voices Heard

Consumers Council of Missouri

Courage California

Cross-union Retirees Organizing Committee (CROC NYC) 

Cuyahoga County Progressive Caucus 

D.C. Nurses Association 

Debt Collective

Defend Public Health New York

DemCast USA

Democracy Needs Help LLC

Democratic Disability Caucus of Florida 

Democratic Socialists of America (DSA)

DSA-Long Island

DSA-Metro DC

DSA-Metro Cincinnati and Northern Kentucky Chapter 

DSA-North Olympic

DSA-Santa Barbara

Doctors for America

Down Home North Carolina

Driftless for Democracy

Economic Opportunity Institute

Equity Allies Giving Circle

Fair Immigration Reform Network (FIRM)

Faithful America

Fayetteville Police Accountability Community Taskforce 

Food and Water Watch

Freedom Virginia 

Freedom Writers Collaborative 

Friends of Public Health

Fund Health Care Not Warfare of Massachusetts Peace Action 

Georgia Interfaith Public Policy Center

Georgians for a Universal Health Program

Gorham Democrats

Grassroots Alexandria

Hastings Progressives 

Havertown Area Community Action Network (H-CAN) 

Healthy California NOW

Health Care Advocates for Maine 

Health Care for All Colorado 

Health Care for All Fremont County CO

Health Care for All Maine

Health Care for All Minnesota

Health Care for All North Carolina 

Health Care for All Ohio

Health Care for All Oregon 

Health Care for All Pennsylvania 

Health Care for All Philadelphia

Health Care for All Sonoma County CA

Health Care for All Texas

Health Care for All Washington

Health Care for All WNC

Health Care Is a Human Right WA 

Health Care Justice-North Carolina 

Healthcare NOW

Health Students Taking Action Together (H-STAT GA)

Housekeys Action Network Denver

Illinois People’s Action

Illinois Single Payer Coalition

Indivisible

Indivisible Birmingham 

Indivisible Brooklyn 

Indivisible Chicago Alliance

Indivisible Chicago Northwest

Indivisible Des Plaines

Indivisible DuPage

Indivisible Eastside-WA 

Indivisible East Valley

Indivisible Evanston

Indivisible Georgia Chapter

Indivisible Greater Portland

Indivisible Herndon-Reston

Indivisible Illinois

Indivisible Lake Region

Indivisible Lincoln Square

Indivisible Mid Maine

Indivisible Niles, Maine Township

Indivisible North West Bronx

Indivisible NYCD 16/15

Indivisible Orchard City

Indivisible Resistance Action East Bay 

Indivisible Ridgewood Queens

Indivisible Route 1 Corridor 

Indivisible Tioga

Indivisible Ventura

Indivisible Waldo County

Indivisible Wallingford

Institute for Policy Studies’ Poverty Project 

International Federation of Professional and Technical Engineers (IFPTE) 

International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (UAW) 

Iowa Citizen Action Network

Iowa Citizens for Community Improvement

Just Solutions 

Kentuckians for Single Payer Health Care 

Labor Campaign for Single Payer

Labor-Community Alliance of South Florida (LCA) 

Labor Today International

Longmont Area Democrats

Maine AllCare

Maine Center for Economic Policy

Maine People’s Alliance 

Maryland State Education Association 

Mass-Care 

McIntosh Advocacy and Consulting 

Medicare for All Arizona

Medicare for All Bloomington 

Medicare for All Florida

Medicare for All North Carolina

Medicare for All South Shore

Medicare for All Western Massachusetts 

Mekong NYC

Michigan for Single Payer Health Care

Michigan for Single Payer Health Care SE Chapter 

Michigan Nurses Association

Michigan United

Minneapolis Educator Pension Advocates

Minneapolis Regional Retiree Council

Minneapolis Retired Teacher Chapter 59

Minnesota and Dakotas Retirees United Chapter 565 

Minnesota Farmers Union

Minnesota Nurses Association 

Minnesota State Retiree Council, AFL-CIO 

Missouri Jobs With Justice

Movement of Rank and File Educators (MORE-UFT) 

MoveOn

Move to Amend

NAACP Charlotte-Mecklenburg

National Center on Domestic and Sexual Violence  

National Korean American Service & Education Consortium (NAKASEC)

National Nurses United (NNU)

National Organization for Women (NOW)

NOW-Florida

National Single Payer

National Union of Healthcare Workers

National Women’s Law Center Action Fund 

Neighbor to Neighbor Massachusetts 

New Disabled South

New Era Colorado Action Fund 

New Jersey Universal Health Care Coalition

New North Carolina Project

New York Progressive Action Network (NYPAN) 

New York State Academy of Family Physicians 

New York State Nurses Association

North Carolina Council of Churches

North Seattle Progressives

Nurses & Friends for Single Payer 

OneAmerica

One Fair Wage

One Payer States

ONE People’s Campaign

Organization for Latino Health Advocacy 

Organized Power in Numbers

Other98

Our Bodies Ourselves 

Our Bronx

Our Revolution

Our Revolution Northern Virginia 

Pacific Islander Health Board of Washington 

PEER/NYPAN Suffolk County 

Pennsylvania Stands Up

People’s Action Institute 

People Power United

The People’s Lobby

Philly Neighborhood Networks

Physicians for a National Health Program (PNHP) 

PNHP-Arizona

PNHP-California

PNHP-Colorado

PNHP-Connecticut

PNHP-Florida

PNHP-Hawaii 

PNHP-Humboldt 

PNHP-Illinois

PNHP-Infectious Diseases Member Interest Group 

PNHP-Iowa

PNHP-Jean and Linda Farley Wisconsin Chapter

PNHP-Los Angeles

PNHP-Maryland, DC

PNHP-Massachusetts 

PNHP-Minnesota

PNHP-Missouri

PNHP-Napa/Sonoma

PNHP-New York Metro

PNHP-North Central Florida

PNHP-North Florida

PNHP-Ohio

PNHP-Philadelphia

PNHP-Rhode Island

PNHP-San Francisco Bay

PNHP-Santa Barbara

PNHP-Ventura

PNHP-Vermont

PNHP-Virginia

PNHP-Washington

PNHP-West Virginia

PNHP-Wisconsin 

Poor People’s Campaign North Carolina

Popular Democracy in Action

Portland Jobs With Justice

Progressive Democrats of America

Progressive Democrats of America Humboldt 

Progressive Democrats of America Maryland

Progressive Democrats of America West Virginia

Progressive Harford County

Progressives for Democracy in America Florida

Progressive Maryland

Protect Minnesota

Public Advocacy for Kids (PAK)

Public Citizen

Puget Sound Advocates for Retirement Action (PSARA)

Putnam Progressives 

Quality Care Infusion Nurses, LLC 

Race Forward Action

Red Wine and Blue

Reproductive Justice Social Action Team of First UU Church of Austin 

RESIST Central Maine

Right Care Alliance

Rights & Democracy Vermont

R Impact Consulting

Rise and Resist

Rise Up West Virginia 

Rogan’s List

RootsAction

Safer Country 

Save Secular Healthcare Washington 

SEIU Local 1107 

Showing Up for Racial Justice (SURJ)

Social Security Works

Society for Humanistic Judaism 

South Asian Public Health Association (SAPHA) 

South Bay Progressive Alliance

Southeast Asia Resource Action Center (SEARAC) 

Southern Maine Workers’ Center

Students for a National Health Plan (SNaHP)

SNaHP-Albert Einstein School of Medicine

SNaHP-Creighton University

SNaHP-Dartmouth, Geisel School of Medicine

SNaHP-Drexel University College of Medicine

SNaHP-Emory

SNaHP-Florida

SNaHP-Florida State University

SNaHP-Gainesville

SNaHP-Keck School of Medicine

SNaHP-Kentucky College of Osteopathic Medicine

SNaHP-Medical College of Georgia

SNaHP-Miami

SNaHP-Morehouse School of Medicine 

SNaHP-New York University Grossman

SNaHP-Northwestern University

SNaHP-Orlando

SNaHP-Rowan School of Medicine

SNaHP-Spelman College

SNaHP-Thomas Jefferson University

SNaHP-University of California, Davis

SNaHP-University of California, Riverside 

SNaHP-University of Florida College of Medicine 

SNaHP-University of Florida Undergraduate

SNaHP-University of Illinois School of Medicine, Peoria

SNaHP-University of Iowa

SNaHP-University of Minnesota 

SNaHP-University of Vermont

SNaHP-University of Washington

SNaHP-Wayne State

SNaHP-Western University

SNaHP-West Virginia School of Medicine

SNaHP-West Virginia School of Osteopathic Medicine

Sunrise Movement

Sweet Fern MDI 

Takoma Park Mobilization

Therapists for Single Payer

Thurston Lewis Mason Central Labor Council 

Tioga County Democratic Committee

Together We Will Long Island

United Electrical, Radio & Machine Workers of America (UE)

United We Dream Action

Unity Fellowship of Christ Church NYC

Universal Health Care Education Fund 

Veterans for Peace Baltimore

Veterinary Surgical Instruction Service

VOCAL-KY

VOCAL-NY

VOCAL-TX

VOCAL-US

Washington Physicians for Social Responsibility 

Watertown Citizens for Peace, Justice and the Environment 

Wednesday Walkouts for Health 

Wellstone Progressive Democrats of Sacramento County 

Western Kennebec County Indivisibles (WKCI) 

West Virginia Citizen Action

Whole Washington

Women’s Diversity Network 

Women’s Equity Center and Action Network (WE CAN)

Women’s March

Women’s March Sussex, Delaware 

Working Families of Will County

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