Universal HealthcareBy NextBestFit

Wind down the private health insurers

Years 1–5 · State insurance commissioners; NAIC; UHADiscuss this step
← All costs for this step

Jobs: Pharmacy benefit manager corporate staff

Rebate negotiation, formulary design, and claims adjudication move to the national formulary. Pharmacists in PBM-owned retail and mail pharmacies are not counted here; dispensing continues.

Result
−$2.9B
Per resident, per year
−$8
÷ 341.1M people
Per household
−$22
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
Employed today
40,000
2
Share displaced
85%
3
Jobs displaced
40,000 × 85%34,000
4
Average annual wage
$85,000
5
Annual wages lost (before reemployment and transition support)
34,000 × $85,000−$2.9B
Trade-off: Accepted under the plan's ground rules; cushioned by the worker transition program and hiring preference at UHA.