Working in the United States healthcare system, we've all seen patients forced to choose between medical care and financial ruin. What toll does the fragmentation and exclusivity of our current healthcare system take on patients? What toll does it take on us? From Obamacare to Bidencare to Medicare For All, how should medical students and physicians begin to think about the future of healthcare reform? Day 1 s/p the 2020 presidential election, we talk with Simon Yadgir, a second year medical student at UWSMPH, about his piece "The U.S. Healthcare System: Designed to Make People Rich, Not  Make People Healthy."