By NextBestFitPhase 5: Stabilize & govern · Step 5.3
Run an independent evaluation and the Year-10 review
Annual reports; Year 10 vote · Independent evaluator (National Academies + GAO); CongressDiscuss this step
Every concrete action this step requires, who is responsible, and when it happens relative to enactment.
| # | Action | Owner | When | Trade-off |
|---|---|---|---|---|
| 5.3.1 | Publish annual reports covering mortality amenable to health care, wait times, patient experience, financial hardship, provider supply, and spending vs. ledger. | Evaluator | Annual | Annual reports inform policy but can be politicized. |
| 5.3.2 | Year-10 report: compare outcomes against the stated trade-offs on this site and recommend continue/modify. | Evaluator | Year 9 | A Year-10 review grounds decisions in evidence but adds uncertainty for long-term planning. |
| 5.3.3 | Congress votes on: (1) continuing the duplicative-coverage ban; (2) activating copays; (3) adjusting the benefit package. | Congress | Year 10 | Mandatory votes ensure revisiting key choices but reopen settled fights. |