ALT October 2, 2026 Subject: Response to Request for Information on Policy Proposals to Improve Access, Quality and Affordability of Health Coverage for All Americans Dear Ranking Member Wyden and colleagues, Thank you for the opportunity to engage in the process to identify bold and meaningful policies to fix America’s broken for - profit private health insurance system. We, the undersigned 41 labor unions, community groups, and advocacy organizations representing millions of members and supporters across the country, urge you to prioritize a single - payer, Medicare for All system as the only comprehensive reform that will address the most devastating issues we face in our current system. We agree with your diagnosis outlined in the Request for Information entitled “Health coverage that works for everyone”: our health care system is failing. There is record consumer dissatisfaction, administrative waste exceeding $370 billion annually corporate profiteering, skyrocketing…

ALT those of other wealthy nations with better health outcomes. Additionally, the average cost of family coverage has hit nearly $27,000 3 , while deductibles have outpaced wage growth for two decades. Nearly half of all U.S. adults delay or skip necessary medical care due to costs, and over 40 percent ration their medications. With 41 percent of Americans carrying medical debt 4 , it remains the leading cause of personal bankruptcy. With a system already in deep trouble, regulatory band - aids and other piecemeal reforms will not go far enough to address the corporate profit motive at the root of so many of our system’s failures. Reforms like public options or buy ins are inadequate to the task we face. Several different analyses of a public option in particular, including one from the Congressional Budget Office

ALT Medicare for All could save as many as 114,000 lives annually, diminish the frequency of chronic illnesses, and vastly improve pandemic resilience. Furthermore, it would elevate wages and productivity by fostering a healthier workforce and eliminating the need for employer sponsored health benefits. By establishing a single risk pool and abolishing commercial claims adjudication, Medicare for All would save over one trillion dollars annually over our current system.

ALT List of signees.