Grand Bargains Health System Reform: A Proposal for Patient-Centered, Cost-Controlled Universal Coverage

This document outlines a proposed universal coverage system aimed at improving health of Americans and reducing healthcare costs. By freezing government healthcare funding at the 2026 level of $6.3 trillion annually through 2035, the projected impact is ≈ $5 trillion saved over 10 years and ≈ 23 percent reduction in the projected federal deficit. With ACCs fully implemented, national health expenditures could fall to 14.3 percent of projected 2035 GDP, compared with the Congressional Budget Office projection of 20 percent-22 percent of the 2035 GDP. Enacting bipartisan legislation now and securing presidential assent can make this achievable.

Key inefficiencies targeted include excessive administration (at least 30% of costs), unnecessary or harmful interventions, fraud (3–10%), and overcharging, as evidenced by the disparity between US and comparable nations’ per capita healthcare expenses.

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