1. United States
2. Mass.
3. Letter

I am writing as a constituent from Pembroke because families, towns, small businesses here are feeling the strain of an increasingly expensive and confusing health care system. While costs for premiums, deductibles, and prescriptions keep climbing, large health insurance corporations and other intermediaries have seen major growth in revenues and profits. This mismatch between what everyday people can afford and what corporate middlemen are taking out of the system is unsustainable. “An Act establishing Medicare for All in Massachusetts” (H.1405 and S.860) would create the Massachusetts Health Care Trust, a single public payer that finances comprehensive, medically necessary care for all residents. These bills would make Massachusetts the first state in the nation to fully restructure health care financing by consolidating the current patchwork of payers into one streamlined, accountable entity. The goal is straightforward: cut out profit‑driven middlemen, reduce administrative waste, and focus our health care dollars on care instead of bureaucracy. Under H.1405 and S.860, the Massachusetts Health Care Trust would pool existing public and private health care dollars into one transparent fund and use those resources to cover medically necessary services without premiums, deductibles, copays, or surprise bills at the point of care. Patients would still choose their doctors and use local hospitals, but providers would bill a single payer rather than dozens of competing plans. That shift alone would remove layers of redundant billing rules, prior authorizations, and network restrictions, freeing up time and money that are currently consumed by paperwork and negotiations. Economic analyses of single‑payer models show that eliminating insurer administrative overhead and monopoly profits can significantly reduce overall health care spending while expanding coverage. Instead of watching corporate earnings rise as coverage becomes more expensive and complex, Massachusetts can direct those dollars toward stabilizing hospitals and clinics, supporting frontline providers, and lowering the financial burden on households and employers. In practical terms, that means stronger local health systems and more predictable, manageable costs for the people and businesses you represent. H.1405 is active before the Joint Committee on Health Care Financing, with an extended reporting deadline, so there is a real opportunity this session to move the conversation from study to action. S.860 has been referred to a study order, reflecting recognition of the importance and complexity of a single‑payer transition. In this context, bipartisan leadership is especially valuable—advancing a model that controls costs, cuts red tape, and guarantees access to care is in the long‑term interest of every community, regardless of party. Massachusetts has a track record of leading on health care reform and influencing national policy. By moving forward with the Massachusetts Health Care Trust, the Commonwealth can once again show how to build a system that is fiscally responsible, efficient, and centered on patient care rather than corporate profit. This is an opportunity to strengthen local health infrastructure, reduce burdens on small businesses, and give families the security of knowing they can get the care they need without financial risk. I respectfully ask you to: • Publicly support H.1405 and the creation of the Massachusetts Health Care Trust as a single public payer that removes unnecessary middlemen from health care financing. • Urge the Joint Committee on Health Care Financing to report H.1405 favorably, so the full Legislature can debate and vote on a model that reduces costs and improves stability for patients, providers, and employers. • Ensure that the Senate’s study of S.860 leads to concrete, practical steps for capturing savings from administrative simplification and redirecting those resources to patient care. Regardless of party, we all benefit from a health care system that is affordable, reliable, and accountable. I hope you will consider supporting these bills and helping Massachusetts lead the way toward a more efficient and humane approach to financing care. Thank you for your attention to this issue and for your service to our district. Sincerely,