The Path Forward: The Healthcare Ladder
Three steps, one direction — from capping drug prices today to Medicare for All on a system built to handle it.
Drug costs capped immediately for all 330M Americans — 83% majority support, including 75% of Republicans. Funded by three redirected streams, not new spending: Medicare negotiating prices directly, PBM middleman reform, and employer premium savings redirected as a cost swap.
The US faces a shortfall of up to 86,000 physicians by 2036. A five-part fix: lift the 1997 residency-slot cap, medical-school debt forgiveness for underserved-area service, an immigrant physician fast-lane, nurse-practitioner scope expansion, and AI-assisted diagnostics that extend each physician's reach.
Universal coverage is the destination, not the first step. By the time it arrives, drug prices are negotiated, 14,000 new physicians are trained, and AI has multiplied capacity — avoiding the cost spike that has killed every previous universal-coverage attempt.