Healthcare
No American should
go broke getting well.
The United States spends more per person on healthcare than any other developed country. We get worse results. 27 million people have no insurance at all. This is not a tragedy. It is a choice. And we can make a different one.
The Crisis in Numbers
The richest country on Earth.
With the most expensive, hardest-to-get healthcare in the developed world.
Americans with no health insurance. That is more than the whole population of Australia.
Average yearly healthcare spending per American. Twice the average of peer nations.
Personal bankruptcies each year tied to medical debt. Nearly unheard of anywhere else.
Americans who rationed or skipped prescription drugs because of cost in the past year
Why This Happened
The healthcare industry owns Congress.
The United States is the only wealthy democracy without universal healthcare. It is not because we lack the money. It is because drug companies, insurers, and hospital systems spend over $600 million a year lobbying Congress to block real reform.
The Affordable Care Act was a big step. It covered 20 million more Americans. But it left the core problem in place: a for-profit system with no duty to provide care when care cuts into profit. Drug prices in the U.S. are 2-3 times higher than in Canada, Germany, or the UK. Same drugs. Same makers.
Project 2025 proposed gutting Medicaid expansion and ending the extra ACA subsidies. It would turn Medicare into a "premium support" (voucher) model that shifts costs onto seniors. These were not budget plans. They were transfers of wealth from sick people to insurers.
What Project 2025 Did to Healthcare
- ● Proposed turning Medicaid into a block grant. That would cut benefits for 90 million Americans.
- ● Ended the Inflation Reduction Act's Medicare drug price negotiation. That handed price control back to pharma.
- ● Rolled back the extra ACA subsidies. More than 5 million people lost coverage.
- ● Weakened FDA control over drug approvals in favor of "accelerated approvals" with no evidence required.
- ● Ended rules requiring reproductive health coverage. Brought back gag rules on providers.
The Plan
What Project 2029 proposes.
Based on Chapter 14 (HHS) of Project 2029. Specific bills. Real legal authority. A plan that can actually pass.
Medicare Public Option
Universal coverage within reach, without waiting for a revolution
Create a strong Medicare public option open to every American, whether or not they have a job. Price it at actuarial cost, with income-based subsidies so no American pays more than 8.5% of income on premiums. Open it to individuals, small businesses, and large employers. This creates real competition. Private insurers must lower prices and improve coverage, or lose customers.
Medicare Drug Price Negotiation - Expanded
End drug company extortion
Build on the Inflation Reduction Act's drug pricing rules and make them stronger. Let Medicare negotiate prices for all drugs, with no patent exclusivity limits. Cap insulin at $35/month for all Americans, not just people on Medicare. Let Medicare use international reference pricing, tying U.S. prices to what other wealthy countries pay. Hit drug companies that refuse to negotiate in good faith with an 80% excise tax.
Medicaid Protection and Expansion
Guarantee coverage for the most vulnerable. No block grants. No cuts.
Lock in Medicaid expansion in all 50 states through federal incentives and penalties. Ban block grants by law, so it takes a Congressional supermajority to change. Expand Medicaid to cover dental, vision, and hearing for everyone enrolled (extend the ACA's senior dental expansion to all ages). End the five-year wait for Medicaid for legal immigrants. Set a federal floor for Medicaid payment rates at 90% of Medicare rates.
Mental Health Parity Enforcement Act
Treat mental illness like any other illness
Toughen enforcement of the Mental Health Parity and Addiction Equity Act (MHPAEA), with civil penalties up to $1M per violation per day. Require insurers to cover every DSM-5 diagnosed mental health condition, with no prior authorization for the first 10 sessions. End prior authorization for substance use treatment and residential mental health care. Add 10,000 community mental health workers to the National Health Service Corps. Provide $20B over 5 years to build up community mental health centers.
Reproductive Healthcare Protection Act
Abortion is healthcare. Treat it like it.
Write Roe v. Wade protections into federal law. Restore and expand Title X family planning funding to $1.5B a year. Require every hospital that takes federal funds (nearly all of them) to provide emergency reproductive care. Repeal the Hyde Amendment. Denying abortion coverage to people on Medicaid is a class-based limit that violates equal protection principles. Protect reproductive healthcare providers from FACE Act violations and targeted harassment.
Rural Healthcare Access Act
Where you live should not decide if you live
Rural hospitals have closed at a rate of one per month for the last decade. 30 million rural Americans lack good access to emergency care. Project 2029 proposes a $15B Rural Hospital Stabilization Fund. Full telehealth expansion, with permanent coverage under Medicare/Medicaid. 5,000 new Primary Care loans under NHSC for rural placements. And required Medicaid payment rate floors so rural hospitals are not shortchanged.
Take Action
What you can do right now.
Vote for Coverage
Every federal election is a vote on healthcare. Register and vote in every election, including primaries.
Register to Vote →Demand Medicare Expansion
Call your senators and representative. Ask them directly: will you support a Medicare public option?
Find Your Rep →Share the Facts
Download the healthcare one-pager. Share it. Every person who understands the issue is an asset.
Get One-Pager →Read the Full Chapter
Chapter 14 of Project 2029: the complete HHS reform blueprint with full legal citations.
Read Chapter 14 →Share This
Help others understand what's at stake.
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