Universal HealthcareBy NextBestFit

Create the Universal Health Administration

Months 0–18 · HHS Secretary; UHA Administrator (Senate-confirmed, 6-year term, removable only for cause)Discuss this step
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Agency start-up before steady-state funding

Staff must be hired and trained before the administrative budget (a share of benefits) reaches its steady-state size.

Result
$9.0B
Per resident, per year
$26
÷ 341.1M people
Per household
$68
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
UHA staff hired ahead of steady-state funding
40,000 × $110,000 × 1.75 years$7.7B
2
Regional offices set up
10 × $80,000,000$0.8B
3
Rates Board, HTA Institute & Office of Patient Advocacy start-up
$0.5B$0.5B
4
Total one-time cost
$9.0B

By year

Year 0Year 1Year 2Year 3Year 4Year 5Year 6
$3.0B$3.0B$2.0B$1.0B$0.0B$0.0B$0.0B

Inputs used

InputKindValue
UHA staff hired ahead of steady-state fundingestimate, medium confidence40,000
Loaded annual cost per UHA employeeestimate, medium confidence$110,000
Average years each hire is funded before steady stateestimate, medium confidence2
Regional officespolicy, high confidence10
Set-up cost per regional officeestimate, medium confidence$80,000,000
Rates Board, HTA Institute & Patient Advocacy start-upestimate, medium confidence$0.5B
Trade-off: Front-loaded: hiring happens before each wave.