Leaves funding vulnerable or inflexible

The approach leaves funding exposed to budget pressure or ties resources to rules that can become unsuitable. This matters most when funding cannot adapt to changing needs and less when commitments remain adequate and flexible.

Under your mix of paths

Paths that create or worsen it

Using your saved plan. 0 paths picked.Edit all picks

Caused or worsened by these paths

A cost these paths share. Each path's page says how it applies there.

Dedicated public health fundingPrevention and public health are underfundedChosen

Reserving health spending for public health competes with treatment for funding.

Let health budgets pay for housing and foodHousing, food, and transportation drive health, but health care isn't designed for themChosen

Paying for housing support, meals, and rides stretches health budgets.

Dedicated trust fund with automatic indexingChronic underfunding by government budgetsChosen

Earmarked health funds can face insolvency scares.

State pilots firstTransition disruption: jobs, companies, and familiar coverageRejected

Volunteer-state pilots face migration and funding limits while attempting to run full universal systems.

Phase in employer taxes for small and low-wage firmsEmployer health taxes can lower wages at firms that never offered coverageChosen

Reducing employer tax rates for small firms and lower wages brings in less revenue.

Maintenance-of-effort payments from statesStates lose control and budgets shift between levels of governmentChosen

Requiring indexed contributions based on former Medicaid spending burdens state budgets.