We the People Healthcare Act: Why Medicare for All Would Cost $32 Trillion and Still Fail (And the Zero-Cost Alternative That Actually Works).
- Jeremy Black
- Dec 11, 2025
- 8 min read
Updated: Dec 17, 2025
We the People Healthcare Act: Why Medicare for All Fails
Medicare for All sounds simple: “Everyone gets healthcare. No premiums. No deductibles. No bills.”
It polls well. It feels fair. It’s the rallying cry of progressives from Bernie Sanders to Alexandria Ocasio-Cortez.
But the numbers don’t lie.
The most rigorous, non-partisan estimates put the 10-year federal cost at $32–$52 trillion, more than the entire U.S. economy produced in 2024.
And even if we paid it, the system would still fail millions with long wait times, rationing, and lower quality for complex care.
There is a third choice, already proven in Singapore, Switzerland, Texas, Kansas, and Oklahoma.
It’s the We the People Healthcare Act, seven reforms that cost taxpayers zero new dollars, save $1.95 trillion annually, end medical bankruptcies, and deliver better outcomes than Medicare for All ever could.
Let’s compare them side by side, with real numbers, real countries, and real results.
The Medicare for All Price Tag: $32–$52 Trillion Over 10 Years
Source (Non-Partisan) | 10-Year Federal Cost Estimate | Key Assumptions |
Mercatus Center (Charles Blahous, 2018–updated 2025) | $32.6 trillion | Realistic provider payment cuts, utilization increases |
Urban Institute (2019–updated 2025) | $34 trillion | Moderate utilization growth |
RAND Corporation (2020–updated 2025) | $42 trillion | Higher utilization growth from “free” care |
Congressional Budget Office (2022–projected 2025) | $44–$52 trillion | Full elimination of private insurance, long-term care included |
Even the most optimistic pro-Medicare for All studies (e.g., PERI at UMass) admit $32 trillion minimum, and that assumes massive provider payment cuts that doctors and hospitals say would force closures.
Where does the money come from?
New payroll taxes of 20–30 %
Income tax hikes up to 50–60 % on middle class
Or massive deficits that explode the national debt
Bernie Sanders himself admitted in 2019 the middle class would pay more in taxes, he just promised it would be “less than premiums.” The numbers say otherwise.
Why Medicare for All Would Still Fail, Lessons From Single-Payer Countries
Single-payer sounds great until you need care fast.
Country (Single-Payer) | Wait Time for Specialist | Wait Time for Non-Emergency Surgery | Life Expectancy | Infant Mortality (per 1,000) |
Canada | 25.6 weeks | 12–18 months for hip/knee | 82.4 | 4.3 |
United Kingdom (NHS) | 18–24 weeks | 12+ months for many procedures | 81.3 | 3.8 |
New Zealand | 20+ weeks | Rationing for “non-urgent” | 82.0 | 4.1 |
In Canada, 1 in 5 patients wait over a year for surgery. In the UK, 7.6 million on waiting lists in 2025, some die waiting.
Meanwhile, Singapore and Switzerland (hybrid models like the We the People Healthcare Act) have:
Zero wait times for cash/DPC
Same-day specialists common
Higher life expectancy (83.6 Singapore, 83.9 Switzerland)
Medicare for All would create Canadian-style queues, because when everything is “free,” demand explodes and supply can’t keep up.
Head-to-Head Comparison: Medicare for All vs. We the People Healthcare Act
Metric | Medicare for All (Single-Payer) | We the People Healthcare Act (Hybrid Model) |
10-Year Federal Cost | $32–$52 trillion | Zero new dollars (saves $19.5 trillion nationally) |
Family Annual Cost | $0 out-of-pocket, but $10–$15k new taxes | $6,000 total (premium + DPC) — $16k savings vs. today |
Wait Times | Months to years for non-emergency | Same-day or next-day (cash/DPC + competition) |
Provider Choice | Limited to who accepts government rates | Any doctor — cash or catastrophic coverage |
Innovation | Drug prices slashed → R&D cuts (Europe example) | Negotiation + imports — innovation preserved |
Outcomes | Similar to Canada/UK (long waits for complex) | Better than Singapore/Switzerland (83+ years expectancy) |
Medical Bankruptcies | Eliminated (but taxes crush families) | Eliminated — HSAs cover deductibles for poor |
Coverage | Universal, but rationed | Universal, real, no rationing |
Taxpayer Burden | Massive new taxes | Deficit-neutral Year 1, surplus by Year 5 |
The We the People Healthcare Act wins on cost, quality, choice, and freedom.
Why Politicians and Media Push for Medicare for All, The Hidden Agenda
Politicians and media on the left push Medicare for All not because it works, but because it expands government power and keeps donor money flowing.
Democrats: Sanders, AOC, and progressives use it as a fundraising goldmine, $100+ million raised in 2024 cycle on “Medicare for All” slogans. It keeps voters angry at “greedy insurers” without threatening the revolving door that lets ex-members cash in at Pharma and insurers after office. Single-payer would funnel trillions to the same corporations, just through government checks instead of private premiums.
Republicans: They “oppose” it with “socialism” scare tactics to rally their base and raise money, but never develop a real plan because their donors (defense, oil, hospitals) benefit from the status quo chaos. “Repeal and replace” is a slogan that keeps the revolving door spinning.
The uniparty truth: both sides profit from division. Medicare for All keeps the fight going without fixing the root (elite capture via revolving door).
How the Media, Politicians, and Elites Used the Same Tactics to Pass the ACA (And Why Many Still Think It Was Great)
The ACA (Obamacare) was passed using the same playbook as Medicare for All today, a mix of emotional manipulation, false promises, media amplification, and elite coordination.
Politicians: Obama promised “if you like your doctor, you can keep your doctor” and “$2,500 savings per family”, both proven lies. Democrats passed it on a party-line vote after backroom deals with Pharma (no Medicare negotiation) and insurers (mandated customers). Republicans “opposed” it for ratings but never repealed it when they could, because their donors profited too.
Media: Left media (CNN, MSNBC) ran 24/7 stories on “uninsured crisis” while burying cost explosions and doctor shortages. Right media (Fox) called it “death panels” but ignored how it locked in corporate welfare. Both amplified division to drive ratings.
Elites: Healthcare lobby spent $1.2 billion (record) to shape the bill, Pharma got $80 billion in “savings” that never materialized, insurers got 20 million new customers. Ex-members like Tauzin and Daschle cashed millions after writing it.
Many still think the ACA is great due to:
Confirmation Bias: Left voters anchor to “coverage gains” (20 million insured) and ignore premium hikes (178 % since 2013) and deductibles ($8,000 average).
Availability Cascade: Media repeats “ACA success” so often it feels true, despite 28 million still uninsured and 100 million underinsured.
False Dichotomy: Framed as “ACA or nothing”, hiding hybrids like Singapore that work better.
Emotional Anchoring: Stories of “pre-ACA bankruptcies” make people grateful for anything, even as costs rise.
Divide and Conquer: Media keeps us fighting “Obamacare vs repeal” so we never unite on real reform.
The ACA wasn’t reform, it was a heist. Medicare for All would be ACA on steroids.
Why the ACA's “Success” Is a Lie – The Media and Political Tricks Exposed
The ACA was sold with the same tactics as Medicare for All:
- False Promises: Obama said “$2,500 savings” , premiums rose 178 %.
- Media Amplification: CNN/MSNBC ran “uninsured crisis” stories 24/7, burying cost explosions.
- Divide and Conquer: Republicans called it “socialism,” Democrats called opponents “heartless” keeping us fighting each other.
- Elite Deals: Lobbyists wrote the bill, $1.2 billion spent to ban Medicare negotiation and mandate customers.
Why do many still think it’s great?
- Emotional Anchoring: Stories of “pre-ACA bankruptcies” make people grateful for coverage ignoring 100 million underinsured today.
- Availability Cascade: Media repeats “ACA saved millions” ignoring 28 million still uninsured.
- Confirmation Bias**: Left voters focus on “access,” right voters on “government overreach” ,both miss the corporate heist.
The We the People Healthcare Act exposes this lie with real savings and real choice.
Why Republicans Have Not Even Developed a Plan – The Uniparty Truth
Republicans have had full control multiple times (2017–2019), yet never passed a replacement.
Why?
Their donors don’t want one.
Healthcare industry gave Republicans $110 million in 2024, almost equal to Democrats ($112 million).
“Repeal and replace” is a slogan, not a policy.
It keeps the base angry without threatening the revolving door cash flow.
The We the People Healthcare Act ends that game for both parties.
How So Many People Fall for Medicare for All, The Elite Psychological Playbook
People fall for Medicare for All because elites use proven tactics from Rare Sense to Save America:
Confirmation Bias: Left voters hear “free healthcare” and ignore waits/taxes. Right voters hear “socialism” and ignore the current corporate welfare.
False Dichotomy: Media frames it as “Medicare for All or current mess”, hiding the hybrid third way that works better.
Emotional Anchoring: Stories of uninsured families anchor the debate to “coverage”, ignoring Canadian patients dying on waiting lists.
Availability Cascade: Repeat “Medicare for All” enough and it seems inevitable, like “too big to fail” banks in 2008.
Divide and Conquer: Keep us fighting left vs. right so we never unite on the real enemy: elite capture.
Our book Rare Sense to Save America, exposes these tricks, get it to never fall for them again.
The Elite Playbook: How They Sell Bad Ideas Like the ACA and Medicare for All
Elites use the same tricks for every “reform”:
1. Create Crisis: Media amplifies stories of uninsured dying (ACA) or bankruptcies (Medicare for All).
2. False Choice: “ACA or nothing” , “Medicare for All or status quo.”
3. Emotional Appeals: “Save grandma!”, ignores $32 trillion cost.
4. Bipartisan “Compromise*: Lobbyists write the bill, politicians claim credit.
5.*Media Silence on Failures: ACA premiums doubled, media pivots to “Republicans blocking progress.”
The We the People Healthcare Act breaks this playbook, zero cost, proven results, no donor payoffs.
Real Countries Prove the Hybrid Model Beats Single-Payer Every Time
Singapore (4.1 % GDP): MediSave + MediShield = zero bankruptcies, 83.6 years expectancy
Switzerland (11.8 % GDP): Universal private insurance + competition = no waits, top outcomes
Canada (single-payer): 25-week specialist waits, lower outcomes
The hybrid model empowers patients with cash and choice. Single-payer empowers bureaucrats with rationing boards.
Frequently Asked Questions – 20 Medicare for All Myths Destroyed
Isn’t Medicare for All cheaper overall? No utilization explodes when “free,” total spending rises to 16–20 % GDP in realistic models.
What about the poor? We the People Healthcare Act gives 100 % subsidies + $10k HSA better than Medicaid waits.
Won’t private insurance disappear? In We the People, insurers pivot to catastrophic plans still billions in revenue.
Doctors will quit under single-payer! They already threaten under Medicare rates. Hybrid pays 150 % Medicare doctors stay.
What about pre-existing conditions? Fully protected no denials, no higher premiums.
Is this “socialized medicine”? No private doctors, private insurance, patient cash.
How do we pay for it? Zero new dollars savings from transparency, monopolies, outcomes.
What about rural areas? Cash + telehealth + competition rural hospitals thrive on paying patients.
Drug companies will stop innovating! Europe negotiates and still innovates. U.S. keeps billions for R&D.
Wait times like Canada? No cash/DPC eliminates waits.
What about seniors? Full subsidies + better preventive care Medicare solvent forever.
Insurance jobs lost? Pivot to HSAs/catastrophic net neutral.
Constitutional? Same authority as ACA.
Providers ignore transparency? $10M fines.
States sabotage? Federal preemption.
Weak version? We reject full act or primary.
Media calls it radical? Let them 91 % want reform.
First step? Call/email your rep demanding co-sponsorship.
Non-US? Share globally.
Why not both? Medicare for All costs $32T and rations. This saves $1.95T and empowers.
Thomas Paine's Common Sense – Your Final Call to Action
Thomas Paine’s Common Sense exposed tyranny and united a people.
Rare Sense to Save America is the 21st-century Common Sense, exposing the healthcare cartel.
Your ancestors paid with blood. It exposes the new tyranny, elites who divide us with media tricks while cashing in through the revolving door.
Thomas Paine’s *Common Sense* wasn’t a polite essay.
It was a firebomb that united the colonies against tyranny.
In 1776, it sold 500,000 copies in a nation of 2.5 million, the equivalent of 60 million today.
Paine wrote: “The sun never shined on a cause of greater worth.”
Your ancestors read Paine and picked up muskets.
All we ask is that you read this book and text WETHEPEOPLE to 50409.
Because Paine was right: the time is now or never.
Get the book that has both parties sweating: https://a.co/d/dmxAYjK
Then join the fight:
We the People are done asking permission.
We are coming.
All we ask is action.
While our text campaign focuses on the Lifetime Lobbying Ban, take action on healthcare now:
Call your rep/senators
Email the template
Mail the bill
Demand co-sponsorship of the We the People Healthcare Act.
For more detail read our Healthcare pillar page
Check out our live counter on our fight page where we also have an easy way to contact all your members of Congress simply by texting WethePeople to 50409. Our current fight is the Lifetime Lobbying Ban.
Once we finish that we will move the text fight to Healthcare. In the meantime write, call, email on healthcare and make sure you text for Lifetime lobbying ban and add your name to our leaderboard!
Every name = one demand sent to Congress. When it hits one million, the cartel loses.
Add your name now, takes 30 seconds, Add me to the Rare Sense Wall of Fame!
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