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Healthcare Policy - Proposal for Universal Healthcare Beta Test



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A Real-World Proposal for Universal Healthcare: Phase-by-Phase



Before a tech company launches a new product, they beta test it. Before a car hits the road, it goes through years of prototyping and testing. But when it comes to healthcare, we act like our only option is to either leave everything broken—or bulldoze the entire system overnight. That’s why every push for Medicare for All has failed. It’s not that the idea is wrong. It’s that the rollout has never been realistic.



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Phase One: The Beta Test



We start small. We take $16 billion—just a drop compared to federal health spending—and use it to purchase and reopen Crozer-Chester Medical Center and Taylor Hospital in Pennsylvania. These hospitals were wrecked by private equity, but they could become the heart of a prototype Universal Healthcare system.


  • The plan stays open to everyone within a 30-mile radius.
  • It still accepts private insurance, but also offers a new public plan.
  • $1 billion per year would fund operations for 5 years, with any unused capital set aside in reserve.
  • During that time, we collect real-world data: costs, outcomes, staffing, satisfaction.
  • No theories—just facts. This would be the first real American test site for what Universal Healthcare could look like.




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Phase Two: Scaled Testing



If Phase One succeeds, we move to Phase Two:


  • Build or acquire up to 5 new hospitals or medical cities across the country.
  • Each serves as a regional center for expanded testing.
  • Again, we gather data. We fix what doesn’t work. We keep what does.




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Phase Three: National Rollout with Choice



Once proven, we don’t eliminate private insurance. We offer real choice:


  • A Universal Healthcare card that works at every hospital.
  • Income-based pricing:
    • Individuals earning over $30,000 pay $50–$100/month
    • Couples over $60,000 pay $100–$200/month
    • Everything is covered—no co-pays, no deductibles, no denials.



Let Americans choose. If the public plan works better, they’ll switch naturally. No mandate required.





🔸 Why This Is the Only Realistic Path Forward



We will never get the votes to nationalize the healthcare system overnight. But a measured, phased, tested approach? One rooted in local success and real numbers? That’s a conversation we can have across the aisle. And if we do this right—if we prove it works—Republicans won’t need to be forced. Their own voters will be asking for it.









Universal Healthcare Innovation and Pilot Act (UHIPA) – Phase One




SECTION 1. TITLE


“Universal Healthcare Innovation and Pilot Act of 2025.”





SECTION 2. PURPOSE



The purpose of this Act is to:


  1. Pilot a regional, publicly-funded universal healthcare program.
  2. Evaluate real-world healthcare delivery costs, access, outcomes, and feasibility.
  3. Establish a scalable, data-driven model for national health coverage expansion.






SECTION 3. AUTHORIZATION OF FUNDS




(a) Acquisition and Reopening of Medical Facilities



There is authorized to be appropriated $16,000,000,000 to:


  • Acquire ownership of Crozer-Chester Medical Center and Taylor Hospital, located in the Commonwealth of Pennsylvania.
  • Reopen and refurbish these facilities for public operation.
  • Hire qualified public health and hospital administration personnel.
  • Fund immediate startup and infrastructure development costs.




(b) Operational Budget



An additional $1,000,000,000 per fiscal year for 5 years is authorized for:


  • Hospital operations, staffing, maintenance, and healthcare delivery.
  • Data collection, health IT systems, community outreach, and research.
  • Any unspent funds shall be placed into a reserve fund managed by the Secretary of Health and Human Services (HHS).






SECTION 4. PATIENT ELIGIBILITY AND ENROLLMENT




(a) Eligibility



  • All residents living within a 30-mile radius of either facility shall be eligible to enroll in the Universal Pilot Health Plan (UPHP).
  • Enrollment shall be voluntary and shall not disqualify enrollees from maintaining existing private insurance, Medicare, Medicaid, or VA benefits.




(b) Services Covered



  • The UPHP shall cover:
    • Primary and specialty care
    • Emergency and inpatient services
    • Prescription drugs
    • Preventive care
    • Mental health
    • Vision and dental services
    • Long-term care, based on medical need




(c) Payment Structure



  • Enrollees shall pay no out-of-pocket costs for covered services.
  • Private insurance may continue to be used for all or just for services not covered under the pilot.






SECTION 5. DATA COLLECTION AND REPORTING



  • The Secretary of HHS shall oversee independent evaluation of:
    • Cost per patient and per procedure
    • Health outcomes
    • Staffing and operational efficiency
    • Patient satisfaction and enrollment metrics

  • Reports shall be submitted annually to Congress, beginning one year after program launch.
  • A final comprehensive report shall be submitted by the end of Year 5.






SECTION 6. SUNSET AND TRANSITION



  • Unless extended by Congressional reauthorization, the pilot program shall sunset 6 years after initial funding, allowing 1 year for wrap-up and transition.
  • Data from the program shall be used to determine feasibility of Phase Two implementation in additional regions.






SECTION 7. DEFINITIONS



  • “UPHP” means Universal Pilot Health Plan.
  • “Secretary” means the Secretary of Health and Human Services.
  • “Covered Services” means those medically necessary and approved by the 



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