The healthcare system should be fair and equitable. Special Intersts and mega corporations should not profit without limits at the expense of a nation and leaving many vulnerable. Government shall serve the needs of all, not the highest bidder or deepest pockets. Healthcare should not be a “commodity”. Through reform, a national system that leads the world is possible through effective governance, leadership, and oversight. Increasing efficiency, reducing fraud waste and abuse, and assuring equality aomng stakeholders can be the global standard and envy.

A WORK IN PROGRESS FOR ALL

Mission Statement of “On American Healthcare”

Our mission is to restore healthcare in America to its rightful owners: the people.

We are unwavering in our fight to build a system that is Safe, Effective, Efficient, Equitable, Accessible, Affordable, and High in Quality. We believe that true healthcare reform begins with the radical empowerment of the patient, defending your fundamental freedom to choose your path to wellness without interference.

We are dedicated to tearing down the bureaucratic and financial obstacles erected by mega-corporations who have built a system designed to profit from human suffering. By returning control to patients and their doctors, we strive to create a healthcare system defined by compassion and innovation, not by greed and barriers.

To the 80% of Americans who know our healthcare system is broken: You are right to demand change. For decades, you have been told that the goal of affordable, universal healthcare is a distant dream, a radical idea that is too complicated or too expensive for a nation as complex as ours. You have been sold the lie that we must start from scratch, and that any attempt to fix the system will lead to disaster.

But that is a lie. The foundation for the healthcare system we desperately need has already been laid. It has been operational, gathering data, and demonstrating its potential for 15 to 25 years. The opportunity is and has been right in front of us, hiding in plain sight. The real question is not how to achieve healthcare reform, but why Congress has actively chosen to ignore the very tools we’ve already built to protect the profits of mega-corporations.

The Foundation Has Already Been Built

We have two existing, powerful platforms that, if expanded and connected, could deliver exactly what the people want: cost control, access for all, and a healthier population.

1. The Affordable Care Act (ACA): The Framework for Universality
   For over 15 years, the ACA has served as the bedrock of modern healthcare access. It established the principle that healthcare is not a privilege for the healthy and wealthy, but a right. Its marketplaces, subsidies, and Medicaid expansion created the infrastructure for a national health insurance system. Is it perfect? No. It’s a compromise-laden patchwork that still leaves too many people behind and ties insurance to employment. But it is not a failure; it is a springboard.

It proved the government can successfully run a healthcare marketplace. It proved that subsidizing coverage works. It normalized the idea that the federal government has a role in ensuring every citizen has insurance. The ACA is the skeleton of universal healthcare; it simply needs the muscle and tissue of comprehensive reform to bring it to life.

2. Medicare Advantage: The Proof of Concept for Public-Private Efficiency
   For nearly 25 years, Medicare Advantage (MA) has been a massive experiment in how the government can partner with private insurers to deliver care. Love it or hate it, MA is proof that the government can pay private entities a fixed rate to manage the health of a population. The infrastructure, the networks, the billing systems—it all exists.

Now, imagine if we took that concept and flipped the script. Instead of for-profit insurance companies using government payments to generate shareholder value, what if we used the government’s massive purchasing power to directly control costs? What if we expanded the popular, traditional Medicare program to cover everyone, using the savings from administrative efficiency and price negotiation to fund it? The MA model shows that the government is already deeply embedded in the healthcare financing business. The only thing stopping us from using that leverage to control costs for everyone is the political will to do so.

The Path Not Taken: From “Public Option” to Universal Care

The ACA was always meant to be a first step. The logical next step, debated but ultimately abandoned, was the “public option”—a government-run insurance plan that would compete directly with private insurers on the ACA marketplaces. This single step would have:

• Controlled Costs: A public plan wouldn’t need to generate profits for executives or dividends for shareholders. It could negotiate lower prices with providers and drug companies, forcing private insurers to lower their premiums to compete.
• Increased Access: It would automatically provide an affordable, reliable choice for anyone, regardless of their employer’s offerings.
• Improve Quality: With a focus on care, not profit margins, a public plan could invest in preventive care and public health initiatives, leading to a healthier population.

From a strong public option, the next step is clear: expanding it further, lowering the eligibility age incrementally, until it covers every American. This isn’t socialism; it’s Medicare. It’s a program that already exists and is beloved by its beneficiaries. It’s using the leverage of a single, national risk pool to drive down prices for everyone—a function that no for-profit corporation can ever replicate because their duty is to their shareholders, not to the public’s health.

Congress’s Dereliction of Duty: Choosing Profit Over People

So, if the foundation is laid and the path is clear, why are we still having the same argument we were having 20 years ago? Why hasn’t Congress educated the public on these obvious solutions and delivered the reform 80% of us are begging for?

The answer is simple and damning: Mega-corporate profits.

Our healthcare system is not a system designed for health; it is a system designed for profit. It is a $4.5 trillion industry, and every dollar of “efficiency” or “cost control” that benefits a patient is a dollar taken from the bottom line of a mega-corporation.

• Insurance companies profit by collecting premiums and denying care. A streamlined, public system that eliminates the need for their role as middlemen is an existential threat to their business model.
• Pharmaceutical companies profit by charging Americans three to ten times more than they charge patients in other developed countries. A unified government payer would have the power to negotiate those prices down, ending their monopoly on life-saving drugs.
• Hospital systems and private equity firms that own them profit from the opaque and fragmented billing system. A simplified, universal system would expose and eliminate their ability to charge wildly different prices for the same procedure.

Congress knows this. They know that a public option built on the ACA’s framework would work, just as Medicare Advantage “works” for insurers. They know that expanding traditional Medicare to all would be the most efficient and cost-effective way to cover the nation. But they refuse to tell you this. They refuse to educate the public because an informed public is a dangerous thing to an industry built on complexity and confusion.

Instead, they sow fear. They use terms like “socialized medicine” to scare you away from solutions that every other wealthy nation has already adopted. They engage in endless debates about “border adjustments” and “waivers” to keep you focused on the weeds while ignoring the forest. They protect the status quo because the status quo is a cash cow for their campaign donors.

It is a dereliction of duty. It is a profound moral failure. Congress has had both the opportunity and the tools for over a decade. They have watched Americans go bankrupt from medical bills, die because they couldn’t afford insulin, and stay in soul-crushing jobs just to keep their health insurance. And they have done nothing, because doing something would mean standing up to the corporations that own them.

You, the 80%, are not asking for a handout. You are asking for an efficient, effective, and humane system. The foundation is there. The ACA and Medicare are the proof. The only thing missing is a Congress brave enough to build on them and honest enough to tell you the truth: that universal, affordable healthcare is not only possible, it has been within our reach all along. They have simply chosen not to take it.