Project 2075

HEALTHCARE ECONOMICS

Universal coverage AND lower costs (not OR)

The Current Crisis

28M

Uninsured Americans

530K

Medical bankruptcies/year

$4.5T

Annual healthcare spending

18%

GDP spent on healthcare

The US spends more than any country on healthcare, yet has worse outcomes than most developed nations.

This is not a healthcare system. It is a profit extraction system.

The AIP Solution

Current System

  • 28M uninsured
  • Millions underinsured
  • $4,000+ deductibles common
  • Surprise medical bills
  • Insurance denial games
  • Employer-tied coverage
  • 530K bankruptcies/year

AIP Healthcare

  • 100% covered
  • Full coverage, no gaps
  • $0 deductibles
  • No surprise bills ever
  • No denial possible
  • Portable, universal
  • Zero bankruptcies

Cost Breakdown

Category Current AIP (Year 3) Savings
Administrative overhead $600B $150B $450B
Insurance profits $100B $0 $100B
Billing/coding complexity $200B $50B $150B
Fraud/abuse $100B $20B $80B
Prescription drug markup $150B $50B $100B
Total Efficiency Savings $880B/year

These savings fund expanded coverage while reducing total spending.

How It's Paid For

$3.5T

Annual Cost (at scale)

$8.1T

GRT Revenue (Year 1)

43%

Of Revenue to Healthcare

No New Taxes on Workers

Healthcare is funded through:

  • GRT revenue: Point-of-sale collection replaces income tax
  • Efficiency gains: $880B/year in waste eliminated
  • Preventive care: health monitoring catch problems early
  • Bulk purchasing: Government negotiates drug prices

Workers see net income increase because healthcare costs disappear from their paychecks while income tax is eliminated.

Health Integration

🏥 Community-Governed Care

Healthcare decisions are made locally by elected Community Health Boards—not insurance companies or distant bureaucrats:

Local Level

Elected Community Health Boards control provider selection, priorities, and budgets

Regional Level

Coordination councils handle multi-community resources and specialist networks

National Level

Federal standards and funding—decisions flow UP from communities, not DOWN

  • Local knowledge — Communities understand their own health challenges
  • Direct accountability — Board members are your neighbors, not executives
  • No profit motive — Decisions based on health outcomes, not shareholder returns
  • Preventive focus — Incentivized to keep people healthy, not bill for procedures
  • Mental health parity — Treated equally to physical health

Lives Saved

13.5M

Lives saved over 30 years through universal coverage

45,000 Americans die each year from lack of insurance. Ending this is not a luxury—it is a moral imperative.

Implementation Timeline

Y1

Year 1: Emergency Coverage

28M currently uninsured gain immediate coverage. Existing insurance continues.

  • Cost: $2.02T (current spending + expansion)
  • Medical bankruptcies begin declining
  • health monitoring begin preventive care
Y2

Year 2: Underinsured Expansion

Transition underinsured to full coverage. Private insurance begins consolidation.

  • $0 deductibles for all
  • Prescription drug costs capped
  • Mental health parity enforced
Y3

Year 3: Universal Coverage

Full universal system operational. Community-governed care networks.

  • Cost: $3.5T/year (at scale)
  • Medical bankruptcies: Zero
  • Preventive care reduces long-term costs
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