Phase 5: Stabilize & govern · Step 5.4
Pilot a no-fault patient compensation system (optional)
Years 3–10 · UHA; participating statesDiscuss this step
Every concrete action this step requires, who is responsible, and when it happens relative to enactment.
| # | Action | Owner | When | Trade-off |
|---|---|---|---|---|
| 5.4.1 | Invite 5 states to pilot, with an expert panel deciding 'avoidable injury' claims within 6 months. | UHA / states | Year 3 | Expert panels compensate more patients faster but award less to severely injured patients than juries may. |
| 5.4.2 | Fund compensation from a small per-provider assessment that replaces malpractice premiums. | UHA | Year 3 | Replacing premiums with assessments spreads costs but requires state legal changes. |
| 5.4.3 | Evaluate injury rates, defensive medicine, and patient satisfaction. | Evaluator | Year 8 | Evaluation guides expansion but takes years before decisions can be made. |