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 1.1.6 of 7

Hire about 40,000 staff through direct-hire authority, with priority for displaced insurer, Medicaid-agency, and Marketplace staff.

Who does it
UHA / OPM
When
Month 3–18
Trade-off

Hiring displaced insurance staff eases job losses but brings in people trained in denial-oriented utilization management.

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.