Phase 1: Enactment & build · Step 1.1

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 1.1.5 of 7

Create the Office of Patient Advocacy: an ombudsman, an appeals process with 30-day decisions, and a 24/7 multilingual help line.

Who does it

UHA

When

Month 6–15

Trade-off

A 30-day appeals standard protects patients but requires staffing that adds to administrative cost.

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.