In 2017, he said that Democrats should consider a single-payer health care system. In July that year, Tester said that health care needed reform but that the latest GOP attempt at reform was a "train wreck" that would "strip health care away from millions of Americans." He said that Democrats should "work to fix what's wrong with the current health care system in a bipartisan way. And that means going through committee process, not doing it in a dark room with a select few, but going through the committee process and getting good ideas from everybody." Reminded that some Democrats "believe that compromise on this issue is not only unprincipled but unnecessary," Tester said the issue was "too important...not to try to help remedy the problems."