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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Task 1.1.4 of 7

Constitute the Payment Rates Board (11 members: economists, clinicians, and patient advocates; no current industry employees) and the Health Technology Assessment Institute.

Who does it
UHA / Congress
When
Month 2–8
Trade-off

Barring current industry employees from the Rates Board reduces capture but excludes people with the most operational knowledge.

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.