Universal HealthcareBy NextBestFit

Upgrade Medicare enrollees into UHP

Year 1, Day 1 · UHADiscuss 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.)All 67 million Medicare enrollees move into UHP on day one. Part B and Part D premiums, deductibles, and coinsurance end. Dental, vision, and hearing are added.
TaiwanMerged labor, government-employee, and farmer insurance on launch day.No coverage gaps for existing enrollees.Existing public enrollees can be converted overnight.
NetherlandsMerged public sickness funds and private insurance into one mandatory scheme in 2006.One market; insurers kept but heavily regulated.Merging tiers is possible in one step with a fixed switchover date.

Taiwan

What they did
Merged labor, government-employee, and farmer insurance on launch day.
What happened
No coverage gaps for existing enrollees.
Lesson for this plan
Existing public enrollees can be converted overnight.

Netherlands

What they did
Merged public sickness funds and private insurance into one mandatory scheme in 2006.
What happened
One market; insurers kept but heavily regulated.
Lesson for this plan
Merging tiers is possible in one step with a fixed switchover date.

More precedent

  • Taiwan merged 10+ existing insurance programs into NHI on one day in 1995.