By NextBestFitPhase 3: Waves 2 & 3: working-age adults · Step 3.1
Enroll adults 45–54 (Year 2) and 35–44 (Year 3)
Start of Years 2 and 3 · UHA; employersDiscuss 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 85 million working-age adults move from employer, Marketplace, Medicaid, or no coverage into UHP. Employer plans shrink to covering only workers under 35 and their spouses. | ||
| Thailand | The Universal Coverage Scheme (‘30 baht’) was piloted in 6 provinces in April 2001 and extended province by province to the whole country by April 2002. | Coverage of the previously uninsured rose to about 95% within roughly a year. | Fast phased rollouts work when enrollment runs through existing local offices. |
| South Korea | Covered the urban self-employed last (1989), the hardest group to assess for contributions. | Universal, but contribution assessment for the self-employed remained contentious. | The last groups to enroll are often the hardest to tax fairly. |
Thailand
- What they did
- The Universal Coverage Scheme (‘30 baht’) was piloted in 6 provinces in April 2001 and extended province by province to the whole country by April 2002.
- What happened
- Coverage of the previously uninsured rose to about 95% within roughly a year.
- Lesson for this plan
- Fast phased rollouts work when enrollment runs through existing local offices.
South Korea
- What they did
- Covered the urban self-employed last (1989), the hardest group to assess for contributions.
- What happened
- Universal, but contribution assessment for the self-employed remained contentious.
- Lesson for this plan
- The last groups to enroll are often the hardest to tax fairly.
More precedent
- The Medicare for All Act uses the same age-band approach.