El-Sayed, the first doctor in the Senate in decades, ran on promises including universal health care, getting money out of politics and addressing the economic pressures facing voters. He also pledged to challenge the state's for-profit health care system, telling Michigan, “You deserve to be able to see a doctor without getting a huge bill. " In a post on X celebrating the result, he wrote, "Michigan, we did what they said couldn't be done. we won together. Now the real work begins. ".