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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Task 1.1.3 of 7

Open 10 regional offices aligned with HHS regions; each runs hospital budget negotiation, provider relations, and wait-time monitoring for its region.

Who does it

UHA

When

Month 3–12

Trade-off

Ten regional offices bring decisions closer to local conditions but create variation in how rules are applied.

Part of: Create the Universal Health Administration

Stand up the agency that runs UHP by absorbing CMS's Medicare operations, then building out 10 regional offices, independent rate-setting and technology-assessment boards, and an Office of Patient Advocacy.

This step changes 4 existing laws, programs, or institutions. See the list.