Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.2

Create the UHP Trust Fund

Months 0–12 · Treasury (managing trustee), UHADiscuss this step
← All costs for this step

Government public health

Health departments, surveillance, vaccination. Held constant so the ledger isolates the coverage change.

Result
$157.6B
$157.6B → $157.6B
Per resident, per year
$462
÷ 341.1M people
Per household
$1,192
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
2024 (CMS NHE Table 4)
Sources: CMS Office of the Actuary (2025)
$157.6B
2
Change under the plan
$0.0B
3
Under the plan
$157.6B
Trade-off: Holding this flat is a modeling choice; more public health spending is a separate decision.
Sources: CMS Office of the Actuary (2025)