1. United States
2. Texas
3. Letter

Healthcare is not a privilege you ration. It is not a perk tied to employment. It is not a commodity to be traded on Wall Street. It is a human right. And every developed democracy on Earth recognizes that truth — every one except the United States. The wealthiest nation in history is the only wealthy democracy that allows its people to go bankrupt because they got sick. That is not complexity. That is cruelty codified into policy. The facts are damning: • We spend more per person on healthcare than any country on Earth — nearly twice the average of other wealthy nations — and yet Americans die younger. • Maternal mortality is higher here than in peer nations. • More than 100 million Americans are buried in medical debt. • One in five Americans skips or delays necessary care because they cannot afford it. That is not inefficiency. That is systemic failure. Cancer patients empty retirement accounts. Diabetics ration insulin. Parents pray their child’s fever breaks because an ER visit could cost thousands. Families launch fundraisers on GoFundMe just to survive. That is not healthcare. That is desperation monetized. Meanwhile, executives at Cigna and UnitedHealth Group collect staggering compensation packages while their companies deny claims, narrow networks, and bury patients in appeals paperwork designed to exhaust them into surrender. Private equity firms buy hospitals, gut them, load them with debt, slash staffing, close rural facilities, and walk away richer — while communities lose lifesaving care. And you call this “the best system in the world.” No. Canada guarantees coverage. Germany guarantees coverage. United Kingdom guarantees coverage. France guarantees coverage. Japan guarantees coverage. Australia guarantees coverage. Netherlands guarantees coverage. They debate structure. They adjust funding. But they do not debate whether their people deserve care. That question was settled decades ago. Here, it remains hostage to corporate donors. Stop pretending this is unsolvable. America built Medicare. America put humans on the moon. America can guarantee healthcare — if Congress chooses people over profits. So here is the demand: 1. Guarantee affordable healthcare for every American — not patchwork access tied to employment or income brackets. 2. Outlaw predatory pricing, surprise billing, pharmaceutical price gouging, and facility fee scams — permanently. 3. Create an enforceable, measurable pathway to universal coverage with clear deadlines — not vague promises that disappear after election season. Stop hiding behind procedure. Stop blaming “political realities.” You create those realities. Congress does not work for insurance conglomerates. Congress does not work for pharmaceutical giants. Congress does not work for private equity firms strip-mining hospitals. Congress works for the American people. Right now, your inaction is costing lives. It is crushing families. It is bankrupting citizens in the richest country on Earth. You have the authority. You have the power. The only question left is whether you have the courage.