Universal HealthcareBy NextBestFit

Switch every tax to its full rate

Year 4 · IRS; TreasuryDiscuss 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.)The employer tax reaches 7.5% and the household premium 4.0%. The trust fund starts building its 2-month reserve.
NetherlandsGovernment sets the income-related employer contribution rate each year (about 6.5–7% of wages up to a ceiling).Revenue tracks spending through annual adjustment.An annual, formula-based rate setting avoids crisis-driven tax votes.
GermanySickness funds set supplementary contribution rates annually to balance budgets.Rates adjust automatically with costs.Automatic rate adjustment keeps funds balanced but makes increases visible.

Netherlands

What they did
Government sets the income-related employer contribution rate each year (about 6.5–7% of wages up to a ceiling).
What happened
Revenue tracks spending through annual adjustment.
Lesson for this plan
An annual, formula-based rate setting avoids crisis-driven tax votes.

Germany

What they did
Sickness funds set supplementary contribution rates annually to balance budgets.
What happened
Rates adjust automatically with costs.
Lesson for this plan
Automatic rate adjustment keeps funds balanced but makes increases visible.