Create the Universal Health Administration

Months 0–18 · HHS Secretary; UHA Administrator (Senate-confirmed, 6-year term, removable only for cause)Discuss this step

Claim denials and appeals

replacedYear 1Patients

Today

Different processes per insurer; external review varies.

Under the plan

One national appeals process with 30-day decisions; ombudsman.

Trade-off

Simpler; a single payer's denial has no alternative insurer.