Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.4

Enroll everyone automatically

Months 6–18 for Wave 1, then before each wave · UHA, SSA, IRSDiscuss this step

Nobody applies. Everyone with a Social Security number or ITIN and a U.S. address is enrolled from existing federal records; others enroll at any provider, Social Security office, or community health center with proof of residence.

Legal vehicle
Universal Health Act, Title II; data-sharing authority with SSA, IRS, DHS, and states.
Who does it
UHA, SSA, IRS
When
Months 6–18 for Wave 1, then before each wave
One-time cost
$4.0B

$4.0B one-time (cards, mailing, outreach). Ongoing enrollment maintenance is inside UHP administration.

In this step

Tasks
7 tasks
Design choice & alternatives
2 decisions with alternatives
Costs & calculations
1 cost items, each with its calculation
Trade-offs
2 pros · 2 cons · 1 trade-offs
Risks
1 risks with mitigations
What changes in the system
3 existing laws, programs, or institutions changed
Other countries
5 comparisons

Cost items

Steps that depend on this one