The All-American Healthcare Plan
The American healthcare system, as it exists, is a system of sick‑care; reactive, fragmented, and enormously profitable precisely because it waits for disease to strike before lifting a finger. Hospitals and insurance conglomerates have no financial interest in keeping you, the American taxpayer, well. Their business model depends on your illness. This is the cruel reality that the American people have endured for generations, and it is the reality that the New Nationalists of America are dedicated to overturning.
By every conceivable measure, the United States has built the most expensive healthcare apparatus in human history, and yet it delivers outcomes that are an embarrassment to a nation that once put men on the Moon. In 2025, total national health spending reached a staggering $5.7 trillion, representing approximately 18 percent of the entire American economy. By 2034, that figure is projected to rise to $9 trillion, consuming more than one-fifth of the nation’s economic output. On a per‑capita basis, Americans spend nearly $16,000 annually on healthcare, roughly double what citizens of other wealthy democracies pay. For this exorbitant investment, we receive the lowest life expectancy among OECD nations and the second‑highest avoidable mortality rate in the developed world. One in three Americans (insured or not) reported having to sacrifice food, housing, or other daily necessities to pay for healthcare in 2025. These are not the statistics of a prosperous and civilized nation. They are the statistics that betray the reality of a government that has surrendered its most vulnerable citizens to the greed of shareholders, and the indifference of a captured political class.
The NNA rejects the false choice that has been offered to America for decades: the choice between a government‑run, bureaucratic behemoth on one hand and a savage, Darwinian marketplace on the other. The binary between those two choices is itself a product of the very establishment that profits from the status quo. The NNA proposes a third path, a path grounded in the principles of America itself, and in the conviction that the state must serve its people. We demand a healthcare system that places patients before profits, and the dignity of the American people before the quarterly earnings of private insurance conglomerates. We demand a system that is worthy of the American Millennium.
The American Principles of Healthcare
The New Nationalists of America offer a set of foundational principles that will guide the construction of a novel American healthcare system, one worthy of a free and prosperous people.
The first principle is that healthcare is a human right. No American should go bankrupt because they got sick. No American should die because they could not afford insulin. The wealthiest nation in the history of the world can afford to care for its people.
The second principle is that the state must serve the people, not multinational shareholders. The profit motive has no place in the public welfare. Every dollar that flows into the healthcare system should be directed toward doctors, nurses, patients, and the very infrastructure of the healthcare system itself, not toward executive bonuses, stock buybacks, or the administrative machinery that has for too long been responsible for denying the people of the care that they have desperately required.
The third principle is the primacy of medical prevention over profiteering. The current healthcare model of the United States profits from illness. We demand a system that keeps the people well, not one that enriches itself from their suffering.
The fourth and final principle is democratic accountability. Healthcare decisions should be made by patients and providers. Community health councils, composed of local doctors, nurses, public health workers, teachers, and elected citizen representatives, should design and implement prevention programs tailored to their own neighborhoods. Those who know their communities best should have the authority to help them.
The NNA Healthcare Plan
Building on these principles, the New Nationalists of America propose a comprehensive healthcare plan that will finally deliver universal, dignified, and affordable care to every American.
Universal Coverage
All Americans will be covered from birth to death. There will be no premiums, no deductibles, and no co‑pays. Care will be free at the point of service, funded not through payroll taxes, but through tariffs and public dividends from strategic industries. The system must be administratively simple, eliminating the vast and wasteful infrastructure of billing, prior authorization, and denials that currently consumes hundreds of billions of dollars each year.
Insurance
Private insurance will be abolished for all medically necessary care. Duplicative, profit‑driven plans will be brought to an end. This will greatly simplify enrollment and will greatly ease administrative costs. The administrative savings under a single‑payer model are estimated at between 33 and 53 percent. These savings (hundreds of billions of dollars annually) will be reinvested into patient care. The insurance industry, once dismantled, will finally be universally recognized for what it is: a parasitic middleman that extracts wealth from the sick and delivers nothing of value in return.
Pharmaceutical Production
The production of essential medicines will be placed under public control. No American will ever again pay $1,000 for a drug that costs $5 to produce. The government will negotiate drug prices directly and enforce those prices through the full power of the state. Patents on life‑saving drugs will be broken in the public interest. The American people themselves have already funded the research that produced these medicines through federal grants and tax incentives. They should not also be forced to pay monopoly prices to foreign shareholders on top of what they have already done.
Community Health Councils
A national network of community health councils will be established to design and implement prevention programs tailored to local needs. These councils will focus on nutrition, exercise and drug abuse campaigns. The councils will be democratically accountable, ensuring that healthcare decisions reflect the needs of communities rather than the dictates of distant bureaucrats or corporate executives.
Rebuilding the Healthcare Workforce
The NNA will expand medical, nursing, and public health education, making it tuition‑free for all qualified applicants. We will reinvest in primary care, shifting the healthcare system from reactive sick‑care to proactive intervention. The shortage of primary care physicians, particularly in rural and underserved areas, will be addressed through expansive scholarship and loan‑forgiveness programs that will be provided in return for service commitments.
Mental Health & Substance Abuse Treatment
Mental health care will be fully covered, and substance abuse treatment will be expanded. The addiction crisis that has devastated American communities, particularly in the deindustrialized heartland, will be finally recognized as the public health emergency that it is. No American will be denied care for addiction because they cannot afford it, and no family will be left to grieve preventable deaths.
Dental, Vision, & Long‑Term Care
All medically necessary dental and vision care will be covered under the public system. Long‑term care for the elderly and disabled will be fully funded to ensure that no family is forced into bankruptcy by the cost of caring for an aging parent.
The Path Forward
The critics will protest that our healthcare plan is unaffordable. The truth is precisely the opposite. What is unaffordable is the current loss of American life that comes from the apathy of a private healthcare system every year. We are already spending $5.7 trillion annually on healthcare, more than enough to cover all Americans. The problem that the United States suffers from is not a lack of resources. It is the systematic misallocation of its resources into the pockets of middlemen, shareholders, and corporates executives. Administrative savings alone will amount to hundreds of billions of dollars annually. Drug price negotiation will save tens of billions more. Medical prevention will save both lives and money. Every dollar invested in public health yields an estimated $5 to $10 in future treatment costs avoided. And the liberation of American businesses from the burden of administering healthcare will free capital for wages, investment, and private sector innovation.
The transition to the all-American healthcare plan will occur in phases, ensuring stability and continuity of care. In the first hundred days, the NNA will impose immediate price controls on essential medicines and hospital services, expand Medicaid to cover all Americans below 200 percent of the poverty line, ban balance billing and surprise medical bills, and establish community health councils in every county. In the first three years, we will build public manufacturing capacity for essential medicines, make medical and nursing education tuition‑free, expand community health centers in underserved areas, and reinvest in rural healthcare infrastructure. In the first five years, we will complete the phased elimination of private insurance for core services, transition fully to universal single‑payer coverage, integrate mental health and substance abuse treatment into the public system, and expand long‑term care for the elderly and disabled. Through this responsible and achievable path, we can finally establish the system that America deserves.
The current system is inhumane. Thirty million Americans remain uninsured. Millions more are underinsured, one medical emergency away from bankruptcy. Americans die preventable deaths because they cannot afford care. This is a moral atrocity and a national failing. The wealthiest nation in history can afford to care for its people. It is a matter of national duty that the country’s public resources serve its people. Healthcare is the foundation of the American Dream. You cannot pursue happiness if you are sick, in pain, or bankrupt. You cannot provide for your family if you are one diagnosis away from destitution. The American Dream requires a healthy people. And a healthy people requires a healthcare system that serves America First.
