Benefits and eligibility
Who is eligible and what benefits, including prevention, dental, mental health and long-term care, are covered?
Quantish Global Health Group / U.S. health policy
The question is what public financing would replace, what would change, and what the transition would cost.
Policy research · Formal report forthcomingCMS reports 2024 health spending of $5.3 trillion, including approximately $1.64 trillion from private health insurance, $1.12 trillion through Medicare and $0.93 trillion through Medicaid. These historic figures offer a baseline, not automatically transferable revenue.
A national financing model must show which premiums, employer contributions, out-of-pocket payments and existing public spending would be replaced; it cannot add new taxes to current healthcare spending and describe the result as the net incremental cost.
Who is eligible and what benefits, including prevention, dental, mental health and long-term care, are covered?
Which taxes replace premiums, and how do households, workers, employers and states fare?
How would hospitals, clinics and prescriptions be paid when access increases?
What is the separate cost of owning facilities, servicing debt and maintaining infrastructure?
What happens under alternative utilization, workforce, inflation and transition assumptions?
CBO notes that a single-payer system may reduce certain administrative costs while creating implementation challenges and greater demand for care. Quantish will test both possible efficiencies and costs rather than announcing a predetermined net savings figure.
This research is in development; no final hospital valuation, savings forecast, national rollout projection, legislative text, or government authorization has been published.
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