By Claudia Fegan, M.D.
Chicago City Council, Committee on Health and Human Relations, March 10, 2026

My name is Dr. Claudia Fegan, I retired in December of 2024 after 12 years as the Chief Medical Officer of Cook County Health, and 24 years with the system. I am the National Coordinator of Physicians for a National Health Program, a national organization with over 25,000 members, based here in Chicago. I am grateful to all the members of this committee who have already signed on to Alder Cruz’s Resolution Supporting Medicare for All. While many people think access to health care is a national issue to be addressed by congress, this is a crucial issue for Chicago, and I’m thankful for the opportunity to address you today and explain why it is so important to address now, prior to the midterm elections.

As the resolution points out, the city of Chicago spends over $600,000,000 annually to provide health insurance to city employees. Think for a moment what the city could do with those funds if we had universal health care, if employers were no longer expected to pay for their employees to have access to health care. Employers are not expected to be responsible for the education of the children of their employees or guarantee their access to police or fire protection. What could Chicago do with an extra $600,000,000?

A poll of voters from November 2025 showed 90% of Democrats and the majority of independent voters support Medicare for All. Voters want to regain control of their health care and lower costs. We are the only industrialized country that does not guarantee access to health care for everyone living within our borders. Not just every citizen, everyone living here. We already spend enough on health care; we spend more money per person than any other country in the world. We allow patients to be denied access to care they need to maximize the profits of the insurance industry.

There has been a lot written about burnout among people in health care. This past year PNHP partnered with the Robert Wood Johnson Foundation to assess that burnout. Surveying over 1100 practicing physicians, we found what has been labeled as physician burnout is often moral injury inflicted by the financialization of the practice of medicine in this country. We found it has harmed the morale of the entire health care workforce, leading to increased shortages and decreased access to care as professionals retire early, cut back on their hours or leave the practice of clinical medicine altogether. Tragically, there are increasing totals of suicides among physicians. More and more, physicians are frustrated by their inability to offer patients the most appropriate care. They are stymied by required prior authorizations that issue inappropriate denials of care, make treatment recommendations their patients cannot pursue and create conflicts between health goals for their patients and the financial goals of the institutions that employ them.

It would be life-changing for Chicago to take the lead here and make a statement by supporting Medicare for All. If the city that sent the first Black woman to the Senate, that first sent Barack Obama to the Senate and then to the White House could send the message that health care is important for everyone, it would have a tremendous impact and continue our local tradition of initiating progress.

The tide is going to turn in this country. We need to build our power and be prepared to take what we need when the opportunity presents itself. We must be represented by people who have the courage to support our agenda. Medicare for All is something representatives have to be willing to fight for. We have a Congress that has acquiesced its power to a president who doesn’t believe in checks and balances. We will not get universal health care while Donald Trump is in the White House. We must be prepared for when Trump is gone. In 3 years, we must be prepared to seize the opportunity when it presents itself.

Last year, one-third of Americans delayed getting care they needed or skipped care entirely. That is the highest number since Gallup started asking questions about this 30 years ago.

I am reminded of a woman I admitted to the hospital one night a few years ago. Both of her breasts were rock hard. They were infiltrated with cancer with palpable lymph nodes in her axilla. She worked as a hairdresser, owned her own shop but had no health insurance. She was sitting at home waiting to die. She believed she had no other choice. She knew she could not afford her care. Her daughter made her come in. Remarkably we were able to get a dramatic response with treatment. No one should ever have to sit at home waiting to die in this country, when we have treatments that can be lifesaving.

Families are desperate for solutions to their everyday health care problems, skyrocketing drug prices, rising copayments and deductibles, surprise medical bills; and are tired of having to switch doctors because of the revolving door of job-based health insurance.

The United States has struggled with the effects of ‘For Profit” Health Care for decades. The country has never embraced access to health care as a basic human right.

In the United States, we know some 28 million people or 8% of the population are uninsured and that 45,000 people die each year as a direct result of not having insurance.

If there is a lesson for the rest of the world to learn from the United States, it is the lesson of the private insurance industry. The insurance companies have a fiduciary responsibility to make as much money as possible for their shareholders. They also determine which patients have access to which care. There is an inherent conflict of interest here. By eliminating the waste and greed of private insurance, we can afford to cover everyone in our country for all necessary care, and end the scourges of surprise bills, skipped medications, and medical bankruptcy. Medical illness or medical debt is the number one cause of bankruptcy in this country, even though the majority of people who declared bankruptcy had insurance at the time of their precipitating illness.

There will always be limitations on how much money is available to spend on health care. Those decisions need to be based on societal need, cost effectiveness and population health, not profits and financial yields.

We already spend enough money on health care in this country; we just allow too many people who do none of the work of delivering health care to take profit from it. I am asking the Chicago City Council to have the political courage to lead the way and to tell our nation that health care needs to be a right for everyone. Thank you so much.

Read the full Chicago City Council resolution HERE.

By Vicente Navarro
Jacobin, May 5, 2020 (accessed Feb. 17, 2026)

In 1984, I became the health adviser to Jesse Jackson’s presidential campaign after Dr Quentin Young, one of my best friends and a well-known progressive physician in Chicago, suggested that the three of us meet. Quentin knew Jesse very well. Besides serving as Jesse’s personal physician, Quentin had developed a close working relationship with Jackson. Jesse had (and has) a very engaging personality, and Quentin was known for his persuasiveness. I accepted their proposal to advise Jesse in the Democratic Party primaries — an experience that became my baptism of fire in American politics (I had arrived in 1965 as a political exile from Franco’s Spain).

By Erica Zurek
MPR News, Feb. 11, 2026

As L finishes her workday at Hennepin County Medical Center in downtown Minneapolis and makes her way to the parking lot where her car is, she cannot shake the fear that someone might grab her and take her away.

She also detects this same tension among other HCMC staff members who tell her they are afraid to come to or leave work.

L has requested that her real name not be used because she does not feel safe.

“I understand that DHS is doing their job, but others are just grabbing anyone they can grab, and that’s created a fearful environment for everybody. It just doesn’t feel safe anymore,” L said. “It puts us in a very vulnerable position.”

Health care workers have voiced their concerns about patient safety during “Operation Metro Surge.” Many of them are also worried about their own well-being and that of their colleagues. Six hospital employees spoke with MPR News and shared their feelings of anxiety and fear about going to work with U.S. Immigration and Customs Enforcement agents present in their facilities and stationed at patients’ bedsides.

MPR News has verified the identity of the hospital employees and is granting them anonymity due to their fears of retribution.

They said that the stress and trauma they experience stems from being targeted based on their immigration status or skin color.

L mentioned that she has been hypervigilant lately. At work, she said, federal agents are appearing in plainclothes, which makes her feel uneasy. When traveling to and from work, she uses the camera in her vehicle and is constantly on the lookout for any unusual activity.

“It really feels like we’re all just living on survival mode,” L said. “I never thought I’d find myself in this position, and that fear is having real consequences for all of us health care workers.”

Staff mental health and sense of safety

The Department of Homeland Security said ICE officers do not carry out operations in hospitals.

“Law don’t conduct operations in hospitals, so those fears are unfounded and probably just ginned up by the media,” DHS spokesperson Tricia McLaughlin said in a statement to MPR News.

But the statement contradicts employees’ observations.

Employees report that federal agents scope out staff. One nurse at HCMC said that a federal agent approached staff members who were attending to patients and asked them about their backgrounds, specifically inquiring about their places of origin. The employees chose to ignore the agents’ questions and did not respond.

Another employee at HCMC, who asked to remain anonymous for fear that their immigration status might single them out, shared a written statement with MPR News through a colleague.

They expressed feeling scared to go to work because of possible encounters with ICE agents. They are worried that if a federal agent finds their paperwork insufficient, they could be detained.

“Not all ICE agents are knowledgeable in immigration status, especially in my case,” they wrote. “We just started to build our small family and started to be financially stable. Am I going to be deported? What about my husband? What about our goals? What will happen to us? That is my question every single night before going to bed. It really affects me mentally and emotionally. This is like a nightmare.”

Hospital worker said concerns led her to carry proof of identity

A health care worker — who is Native American and prefers to be identified as M — said she and her community are experiencing targeted actions. She is frightened by the presence of federal agents at HCMC and said the agents have requested immigration documents from some staff members.

M has been carrying her documentation in a Ziploc storage bag since February 2025.

“I have my blood papers. I have my tribal papers. I have my birth certificate,” M said. “I’m literally Indigenous to this land, but I have to carry all my documentation because I know that they will take me, too.”

M has worked at the hospital for 34 years, but she feels conflicted about going to work due to the associated risks she faces as a person of color. She mentioned that the anxiety she has encountered while working at HCMC during this time surpasses anything she has dealt with before, even though she has never been completely comfortable in certain environments.

“I don’t have a safe space at work right now. I don’t know how far this is going to go. I don’t know what the repercussions will be for me as a person of color, working there,” M said. “I don’t know what the hospital will do for me if something happens to me.”

M said her focus is on caring for her patients, but she nearly experienced a panic attack. She had to pull herself off the floor and talk herself through the situation.

During the height of the COVID-19 pandemic, M observed that hospital staff felt terror over the potential effects of the disease on themselves and their families, as well as concerns about what they might bring home. She said that the current situation in America is worse because there is nowhere safe for people to go. This instability is affecting M both mentally and physically. She is losing sleep because she is worried about what is happening in Minnesota.

MPR News reached out twice to Hennepin Healthcare, the nonprofit that runs HCMC, about its ICE protocols and the safety of staff and patients. A spokesperson acknowledged the inquiries and indicated that they would follow up soon and also shared the frequently asked questions section on their website for additional information. At the time of publication, MPR News had not yet received a response.

Hospital employees report patient injuries and disrupted care amid ICE encounters

An employee at M Health Fairview Southdale Hospital, who asked to remain anonymous, said that patients are being admitted to the emergency room with broken arms and concussions after interactions with federal agents. One person was chased off a building and their knee was shattered. Another person was running from federal agents and ran themselves into tachycardia and was admitted to the hospital.

A protestor was brought in because they were pepper sprayed by federal agents. The protestor told hospital staff that ICE agents also reached down their shirt and pepper sprayed the skin on their chest.

The employee said that these types of interactions between community members and ICE officers greatly affect them.

Many patients do not speak English and are afraid, according to the employee. If ICE is present in the room, patients are less likely to disclose personal information to health care workers. When ICE leaves, these patients are begging for help and asking to call their families.

“We are supposed to be providing the best patient care regardless of race, gender, class, sexuality, citizenship status or any other protected reason,” they said. However, as a person of color, this employee said that they feel uncomfortable in a room where ICE officers are present, noting that it seems as if the officers are “shopping” around.

ICE officers took a photo of one of their coworkers, who subsequently took a leave of absence. They said some employees have chosen to take family medical leave for their own protection, while others have decided to quit.

Additionally, a direct manager at the hospital allowed staff members to stop wearing their badges to prevent ICE officers from seeing their names.

A spokesperson for Fairview Health Services explained that their policies for handling ICE are the same as those for local law enforcement. M Health Fairview’s website emphasizes that staff and patient safety are the priority, that hospital leadership is monitoring the situation and will update staff as needed, encouraging them to share any concerns.

SEIU Healthcare Minnesota and Iowa, a union of over 50,000 health care workers, said it opposes the presence of federal agents in hospital and clinical settings. In a statement to MPR News, the union said it is disappointed by the lack of action from health care systems and urged health care leaders to establish clear boundaries to protect patient privacy and ensure the safety of both patients and staff.

“All patients deserve to seek medical care without fear, and all healthcare workers should perform their duties without interference or intimidation,” SEIU said in a statement.

L, who works at HCMC, said she hides her fear and puts her emotions aside to stay focused on her patients.

“Our diversity at HCMC is one of our greatest strengths. Our mission has always been to provide care for everybody with dignity and respect, regardless of their background or circumstances,” L said. “At this point, everything is out of my control. So, I can sit here and worry about things that I can’t control, or just continue to live and try to make a difference in people’s lives.”

https://mprnews.org…