Healthcare

Structure

Fully nationalized single-payer healthcare for all American citizens. The Canadian model: doctors and medical staff remain private, operate independently, and get paid well. Hospitals stay private. But there is ONE payer (the federal government) and ONE price list.

Government-Set Pricing

The government publishes a comprehensive price schedule for every procedure, medication, and service. An appendectomy pays $4,000. An MRI pays $300. A doctor visit pays $150. Aspirin pays what aspirin costs. Hospitals and doctors can take it or leave it — but since the government is the only payer, there's no one else to sell to.

This forces US per-capita healthcare costs down from the current $13,000+ (highest in the world for worse outcomes) to approximately $7,000-8,000 (in line with other developed nations). Total government cost: approximately $2 trillion instead of the current $3.2T+ — covering everyone, with no premiums, no deductibles, no copays.

Elimination of Admin Bloat

American hospitals currently employ more billing administrators than nurses. The multi-payer system where every insurance company has different rates, codes, and approval processes is eliminated entirely. One price list, one payer, one simple claim form. Admin overhead drops by $400-500B annually.

Criminal Penalties for Healthcare Profiteering

Healthcare fraud, price gouging, and billing manipulation are prosecuted as criminal offenses with prison time — not civil fines. Hospital administrators who inflate charges above the government price schedule face fraud charges. Pharmaceutical executives who engage in price manipulation on essential medications face criminal prosecution.

If a pharma company refuses to sell at the government-negotiated price, compulsory licensing allows generic manufacturers to produce the medication. The patent exists but a license is forced. People don't die because a company wants higher margins.

Medical Supply Chain Price Controls

Medical device companies and supply manufacturers are subject to the same government price schedule as procedures. A hospital bed that currently costs $30,000 is set at $3,000. Dental drill bits, surgical instruments, disposables — all priced at reasonable markups over actual manufacturing cost. The sole-buyer leverage applies to the entire supply chain, not just procedures.

Malpractice Reform — Accountability Without Insurance

The malpractice insurance industry is eliminated entirely. In its place, a three-tier accountability system:

Bad outcome despite proper care. Patient dies or is harmed during a procedure with known risks. Doctor followed protocols and did everything right. No punishment, no investigation. Medicine is inherently risky.

Negligence. Doctor skipped a step, didn't read the chart, was rushing. Someone got hurt because of carelessness. Consequence: permanent license revocation and financial restitution to the victim paid from a government compensation fund. Career over, but not prison.

Gross recklessness. Doctor was impaired, knowingly operating beyond competence, or deliberately cutting corners. Someone died or was maimed because the doctor simply did not care. Criminal charges — same framework as any other professional who abuses their position of trust.

Victim compensation follows a published schedule — loss of limb pays X, permanent disability pays Y, wrongful death pays Z. No lawsuits, no lawyers taking 40%, no five-year fights. Investigation determines the tier, compensation is paid, accountability is enforced. Clean and fast.

Doctor Compensation

With free medical education (no student debt), doctors no longer need $300K+ salaries to service loans. Target physician compensation: $150-175K — still an excellent living, well above median income, reflecting the skill and importance of the work. Combined with eliminated malpractice premiums ($50-200K/year currently), doctors actually take home more in many cases despite lower gross pay.

Drug Price Negotiation

The federal government negotiates all pharmaceutical prices directly. As the sole buyer for 260+ million people, the government has absolute leverage. Prices are set at levels comparable to what other developed nations pay.