Healthcare Policy - Proposal for Universal Healthcare Beta Test

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. Bernie Sanders and others have introduced Medicare for All legislation twelve times since 2003. And every single time it dies in committee. It never even makes it to a vote. Not even when Democrats controlled the House, the Senate, and the White House did it move forward. That should tell us something. It’s not about the idea, it’s about the approach. That’s why we need a new strategy. A practical, testable, step-by-step strategy. And that’s exactly what the Universal Healthcare Beta Test is. Instead of trying to flip the entire healthcare system overnight, we start with one real world pilot program. A fully public hospital network rebuilt from the ground up. We test it. We measure it. We prove it works.This proposal has something that Medicare for All has never had. A real chance to become law. Will it pass tomorrow? No, not with Donald Trump and Republicans in control. But when the political winds shift and they will, this is the kind of plan that can win votes, win bipartisan support, and win back the country for working people. This isn’t just a healthcare plan. It’s a roadmap to making real, lasting change in America. One hospital at a time.

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.

🔹

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.

🔹

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:

Pilot a regional, publicly funded universal healthcare program.
Evaluate real world healthcare delivery costs, access, outcomes, and feasibility.
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

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

#project2029 Project 2029

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