Financing the system
Replace existing spending sources with a transparent tax and public-budget model, including transition costs.
Explore analysis →Quantish Global Health Group / U.S. health policy
Tax-funded national coverage, careful hospital ownership design and a credible transition require more than a slogan.
Policy research · Formal report forthcomingQuantish Global Health Group is researching a national healthcare model rooted in broad tax financing and universal access, with a significant role for public service delivery. Our proposal also examines the possibility of public acquisition of hospitals, alongside models in which private and nonprofit hospitals continue providing care under a national financing system.
Those are separate policy choices. Government financing does not automatically require every facility to be government-owned, and ownership reform must be evaluated for cost, access, workforce and quality.
Replace existing spending sources with a transparent tax and public-budget model, including transition costs.
Explore analysis →Study broad public acquisition, selective purchase, conversion and a publicly financed mixed-provider system.
Explore analysis →Evaluate governance, worker protection, capacity, legislation and phased rollout.
Explore analysis →These are dated baseline statistics, not projected savings. The OECD's 2025 U.S. review documents high U.S. spending relative to peers alongside mixed health outcomes and access indicators.
Coverage, primary care, preventive medicine, dental and mental health, cost sharing and patient protections.
Physicians, nurses, hospital staff, insurance employees, rural service delivery and medical education.
Tax structures, existing Medicare/Medicaid spending, hospital assets and debt, lawful acquisition and federal-state coordination.
Wait times, patient experience, public governance, health equity, safety and independent evaluation.
Working title: An American National Health Service: Financing, Hospital Ownership, and a Phased Transition to Universal Healthcare.
Quantish plans to publish comparative scenarios, transparent economic assumptions, hospital ownership analysis, workforce considerations and a proposed transition framework. No final proposal or release date is being claimed.
This research is in development; no final hospital valuation, savings forecast, national rollout projection, legislative text, or government authorization has been published.
Explore forthcoming publications