Universal HealthcareBy NextBestFit

Expand capacity before demand peaks

Year 0 onward; continuous · HRSA; UHA; states (scope of practice)Discuss this step
← All costs for this step

How much waits grow if demand outpaces capacity (queueing model)

Physician visit demand rises by 12% under the plan. In a simple queue (M/M/1), the expected wait scales with utilization ÷ (1 − utilization), so waits explode as practices approach full capacity. This is illustrative, not a forecast: real practices triage, add hours, and use telehealth. A value of 999 means the queue grows without limit.

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

How it's calculated

#StepArithmeticValue
1
Demand multiplier (physician visits)
1.12×
2
Practices 75% busy, capacity +0% → 84% busy
[0.84 ÷ (1 − 0.84)] ÷ [0.75 ÷ (1 − 0.75)]1.75×
3
Practices 75% busy, capacity +3% → 81.55% busy
[0.82 ÷ (1 − 0.82)] ÷ [0.75 ÷ (1 − 0.75)]1.47×
4
Practices 75% busy, capacity +6% → 79.25% busy
[0.79 ÷ (1 − 0.79)] ÷ [0.75 ÷ (1 − 0.75)]1.27×
5
Practices 75% busy, capacity +10% → 76.36% busy
[0.76 ÷ (1 − 0.76)] ÷ [0.75 ÷ (1 − 0.75)]1.08×
6
Practices 85% busy, capacity +0% → 95.2% busy
[0.95 ÷ (1 − 0.95)] ÷ [0.85 ÷ (1 − 0.85)]3.50×
7
Practices 85% busy, capacity +3% → 92.43% busy
[0.92 ÷ (1 − 0.92)] ÷ [0.85 ÷ (1 − 0.85)]2.15×
8
Practices 85% busy, capacity +6% → 89.81% busy
[0.90 ÷ (1 − 0.90)] ÷ [0.85 ÷ (1 − 0.85)]1.56×
9
Practices 85% busy, capacity +10% → 86.55% busy
[0.87 ÷ (1 − 0.87)] ÷ [0.85 ÷ (1 − 0.85)]1.14×
10
Practices 90% busy, capacity +0% → over 100% busy (queue grows without limit)
999.00×
11
Practices 90% busy, capacity +3% → 97.86% busy
[0.98 ÷ (1 − 0.98)] ÷ [0.90 ÷ (1 − 0.90)]5.09×
12
Practices 90% busy, capacity +6% → 95.09% busy
[0.95 ÷ (1 − 0.95)] ÷ [0.90 ÷ (1 − 0.90)]2.15×
13
Practices 90% busy, capacity +10% → 91.64% busy
[0.92 ÷ (1 − 0.92)] ÷ [0.90 ÷ (1 − 0.90)]1.22×
Trade-off: Covering everyone with no cost sharing is only compatible with short waits if capacity grows with demand. Every percentage point of capacity added before demand peaks cuts waits sharply; every point missed lengthens them sharply.