By NextBestFitEnroll children and adults 55–64
Year 1, Day 1 · UHA; employers; statesDiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | About 73 million children and 42 million adults aged 55–64 join. Children's Medicaid and CHIP coverage converts automatically, and private family coverage stops covering children. | ||
| South Korea | Extended coverage in steps: large firms (1977), smaller firms and civil servants (1979), rural self-employed (1988), urban self-employed (1989). | Universal in 12 years; merged into a single insurer in 2000. | Phasing by group works; finishing with consolidation captures single-payer efficiencies. |
| Japan | Extended employment-based coverage to everyone through community-based insurance in 1961. | Universal coverage with many insurers. | Universality can come by filling gaps around existing coverage. |
South Korea
- What they did
- Extended coverage in steps: large firms (1977), smaller firms and civil servants (1979), rural self-employed (1988), urban self-employed (1989).
- What happened
- Universal in 12 years; merged into a single insurer in 2000.
- Lesson for this plan
- Phasing by group works; finishing with consolidation captures single-payer efficiencies.
Japan
- What they did
- Extended employment-based coverage to everyone through community-based insurance in 1961.
- What happened
- Universal coverage with many insurers.
- Lesson for this plan
- Universality can come by filling gaps around existing coverage.
More precedent
- The Medicare for All Act covers children and lowers the Medicare age in Year 1.