1. United States
2. S.C.
3. Letter

I am writing to urge Congress to expand Medicaid immediately and establish a comprehensive national health-care system that guarantees care to every person in the United States. Health care should be treated as an essential public service rather than a privilege dependent upon employment, income, or other limiting factors. Medicaid is a foundational part of the nation’s health-care system, but access and eligibility remain uneven among the states. No person should lose medically necessary care due to administrative barriers or state-level decisions. I urge Congress to enact legislation that would: 1. Establish a national Medicaid eligibility floor 2. Create a federally administered Medicaid option where states fail to provide adequate coverage 3. Increase federal matching funds to strengthen care systems 4. Guarantee continuous eligibility 5. Ensure comprehensive coverage across all essential health services 6. Create a national public health-insurance plan available to every resident 7. Establish a transition toward universal health care without unaffordable costs 8. Authorize fair price negotiation for all for medical services and medications 9. Invest in community health infrastructure and workforce development 10. Require regular national health-needs assessments Healthcare policies should be evaluated based on whether people receive timely and effective care, not on profitability. The United States is the only major developed nation without a universal healthcare system. It is time to catch up to our peers and get this done. I urge Congress to expand Medicaid now while building a permanent system of health care for all.