Universal HealthcareBy NextBestFit
Phase 4: Wave 4: everyone · Step 4.2

End employer-sponsored insurance for covered services

Year 4 · Employers; DOL; OPM (FEHB); state & local governmentsDiscuss this step
← All costs for this step

State & local employer premiums

State and local employee health plans close (public-school teachers, police, and others).

Result
$0.0B
$246.8B → $0.0B
Per resident, per year
$0
÷ 341.1M people
Per household
$0
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
2024 amount (CMS NHE Tables 5-1 to 5-4)
Sources: CMS Office of the Actuary (2025)
$246.8B
2
Treatment: eliminated
−$246.8B
3
Under the plan
$0.0B
Trade-off: Payers stop paying this; the money is replaced by the new taxes listed under financing.
Sources: CMS Office of the Actuary (2025)