Universal HealthcareBy NextBestFit

Launch the displaced-worker program

Month 6 onward; benefits through Year 6 · Department of Labor; state workforce boardsDiscuss this step

How other countries handled this same piece of implementation, what happened, and what it means for this plan.

Side by side

CountryApproachResultLesson for this plan
This plan (U.S.)About 975,261 workers in insurance, billing, brokerage, PBMs, and related jobs will lose them over four years. The program pays wage replacement, wage insurance, training, and bridge pensions, and gives hiring preference at UHA and in health care.
TaiwanMerged existing public insurance bureaus into the NHI Administration in 1995, transferring staff.Little job loss because predecessors were public agencies.The U.S. differs: displaced workers are in private companies, so a transition program is needed.
Denmark'Flexicurity': generous unemployment benefits (up to 90% of wages) with active retraining.Rapid reemployment after structural shocks.High replacement rates plus retraining reduce lasting harm; the plan's program mirrors this.

Taiwan

What they did
Merged existing public insurance bureaus into the NHI Administration in 1995, transferring staff.
What happened
Little job loss because predecessors were public agencies.
Lesson for this plan
The U.S. differs: displaced workers are in private companies, so a transition program is needed.

Denmark

What they did
'Flexicurity': generous unemployment benefits (up to 90% of wages) with active retraining.
What happened
Rapid reemployment after structural shocks.
Lesson for this plan
High replacement rates plus retraining reduce lasting harm; the plan's program mirrors this.

More precedent

  • Trade Adjustment Assistance; PERI (2018) proposed a similar program for Medicare for All.