Explore the trade-offs: Who pays for lunch? Someone always does. Adjust spending levels to see the real cost—debt, taxes, and who really subsidizes whom.
Extend coverage to low-income adults in non-expansion states. Covers millions, shifts costs to federal/state budgets.
Allow Medicare to negotiate prescription drug prices. Reduces costs for seniors, impacts pharma revenue.
Require insurers to cover preventive services at no cost. Improves outcomes long-term, increases premiums.
Universal government-funded healthcare. Eliminates uninsured, requires major tax increases.
Permanent coverage for remote care. Improves access, reduces facility costs, shifts to tech infrastructure.
Equal coverage for mental and physical health. Addresses care gaps, increases utilization and costs.
Universal coverage for nursing home and home care. Addresses aging population, massive cost burden.
Require hospitals to publish all prices upfront. Empowers consumers, reduces surprise billing.
Shift from fee-for-service to outcomes-based payments. Improves quality, disrupts provider revenue.
Eliminate or significantly reduce Affordable Care Act subsidies and mandates. Saves billions, increases uninsured.
Reduce Medicare coverage, raise eligibility age, increase cost-sharing. Reduces federal spending, shifts costs to seniors.
Tighten eligibility, add work requirements, reduce benefits. Saves state/federal budgets, reduces coverage.
Simulated outcomes over 10 years
Additional individuals with coverage
Additional annual spending
Estimated preventable deaths/year
GDP impact (positive or negative)
Estimated annual change per household
Move from the status quo (0%) to the policy as proposed (100%) or an even more aggressive version (200%).
Current U.S. National Debt: ~$34 Trillion
Additional debt from this policy over 10 years (assuming no spending cuts elsewhere):
Interest payments alone add billions annually. Future generations inherit this burden.
How much your total tax bill changes annually (federal + state), based on a median household income of $70,000.
These are annual changes — negative values mean lower taxes (taxpayers net recipients), positive values mean higher taxes. Over time they compound.
Net transfer analysis: Who pays more than they receive? All values below are per member of each group (per household, per enrollee, per hospital, etc.), not per the whole population.