Transforming Healthcare: A Nonprofit Model for Families,-

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Transforming Healthcare: A Nonprofit Model for Families, Communities, and Future Generations

Introduction

Imagine a healthcare system where your well-being comes first—where decisions aren’t dictated by profit margins, and every American has access to affordable, quality care. Today, many families face impossible choices: pay for a doctor’s visit or the electric bill, delay a child’s treatment because the copay is too high, or forgo medications entirely due to cost.

Our plan for a nonprofit healthcare system with a shared cost model (Individual, Employer & Government) is about putting people before profits, ensuring that healthcare works not just for today but for generations to come. It’s time to realign our priorities and take healthcare back from private equity (PE) firms whose goals conflict with our nation’s growth and health.

The Reality Many Americans Face

A Single Parent’s Struggle

Sarah, a single mother, works two jobs to make ends meet. Her employer offers insurance, but the premiums eat up nearly 20% of her paycheck. When her son needs an urgent visit to the doctor, she has to skip paying the water bill to cover the copay.

How the Plan Helps:

- Under the shared cost model, Sarah’s out-of-pocket expenses drop immediately. With subsidies for low-income families, her premiums become affordable, allowing her to focus on her son’s health without sacrificing basic needs.

- Over time, as costs are reduced further, Sarah’s financial burden will continue to lighten.

A Farmer in Rural America

John runs a small family farm in a rural area. The nearest hospital is over 50 miles away, and he struggles to find affordable care for his chronic back pain. Private equity firms have bought out local clinics, raising prices and limiting services.

How the Plan Helps:

- Nonprofit healthcare prioritizes access for underserved areas like John’s. Community-focused investments will restore rural clinics, ensuring John can get affordable care close to home.

- Tax incentives for private practices in rural areas will keep clinics independent, focused on patient care, and free from corporate buyouts.

A Family’s Future Generations

The Hernandez family has three children. Their oldest, Emma, dreams of becoming a doctor, but her parents worry about taking on crippling student debt. Their youngest, Carlos, has asthma, and the family’s insurance barely covers the cost of inhalers.

How the Plan Helps:

- By transitioning to a nonprofit model, the cost of prescription medications, like Carlos’s inhalers, will drop dramatically.

- Emma can pursue her dream of medical school without fear of lifelong debt, as the plan includes student loan reforms with interest-free repayment options.

What This Means for Future Generations

1. Affordable, Accessible Care for All

- By eliminating profit-driven motives, the system ensures that every dollar goes toward improving care. This means children and grandchildren will grow up in a world where healthcare is a right, not a privilege.

2. Preventative Health as the Standard

- Investments in preventative care will reduce chronic diseases and medical emergencies, creating a healthier society. Future generations will benefit from lower costs and better health outcomes.

3. A Healthcare System Free from Exploitation

- Private equity firms often prioritize short-term profits over long-term care. When their goals don’t align with quality healthcare, communities suffer. By removing PE firms from the equation, we protect the integrity of the system for years to come.

4. Sustainable Growth for the Nation

- A healthy population is a productive population. When families aren’t weighed down by medical debt or insurance premiums, they can invest in education, small businesses, and community growth, ensuring the nation’s prosperity.

When Healthcare Is a Corporate Playground, We All Lose

When private equity firms dominate healthcare, we see:

- Rising Costs: PE-owned hospitals and clinics often increase prices to maximize profits.

- Reduced Quality: Staff cuts and overworked employees lead to subpar care.

- Limited Access: Rural and underserved areas are abandoned because they’re not “profitable enough.”

These outcomes are not aligned with the purpose of healthcare or the growth of our nation. A healthy nation is a strong nation, and a system driven by profits undermines this foundation.

What This Will Look Like for Our Children and Their Families

A World Without Medical Debt:

- Families won’t face bankruptcy over a hospital visit. Future generations will grow up without the fear of choosing between health and financial survival.

Independent, Patient-Focused Care:

- Private practices will thrive without the pressures of corporate buyouts, offering personalized, high-quality care for every patient.

Equity in Healthcare Access:

- Whether you’re in a rural farming town or a bustling city, your children will have access to the same high standard of care.

Innovation Without Exploitation:

- Nonprofit systems will invest in research and innovation for the public good, not just for shareholder profits.

Why This Plan Works

Immediate Cost Relief:

- Shared costs between the government, businesses, and individuals will reduce the financial burden for families from day one. No copays.

A Transparent Transition:

- By keeping costs stable in the first year and gradually reducing them, we ensure stability and accountability.

Protecting Providers:

- Grants, shared resources, and protections against private equity buyouts keep private practices independent and thriving.

Funding Through Fairness:

- Closing tax loopholes, implementing a wealth tax, and introducing corporate responsibility measures ensures the system is funded without burdening working-class families.

The Vision: A Nation That Puts People First

This plan is not just about healthcare—it’s about redefining our priorities as a nation. It’s about ensuring that every child, every parent, and every grandparent has access to care that prioritizes their well-being. It’s about building a legacy of fairness, equity, and compassion that will shape the future for generations.

A detailed vision below:

Here’s a detailed explanation of how the proposed nonprofit healthcare model with a shared cost system works, step by step, focusing on its structure, funding, and benefits.

1. The Shared Cost Model

What It Is:

The shared cost model splits healthcare expenses equally among the federal government, businesses, and individuals. This ensures that no single group bears the full burden of healthcare costs, creating a more balanced and equitable system.

How It Works:

- Year 1: The current healthcare rates remain the same, but instead of individuals covering costs through premiums and copays alone, the government and businesses take on 66% of the burden:

- Federal Government (33%) : Uses tax revenues, including funds from closed loopholes and wealth taxes, to cover part of healthcare costs.

- Businesses (33%) : Contribute proportionally to their size and revenue through shared premium obligations and a progressive corporate tax.

- Individuals (33%) : Pay the remaining portion of costs, significantly reduced from current levels.

Example:

- Under the current system, a family of four might pay $20,000 annually for health insurance (including premiums, copays, and deductibles).

- Under the shared cost model:

- The family pays only $6,600 (33% of $20,000).

- The remaining $13,400 is split between the federal government and businesses.

Phased Reduction of Costs:

Starting in Year 2, individual and business contributions will decrease incrementally by 5% annually , while government subsidies increase slightly to absorb the difference. Over time, efficiencies from the nonprofit model will allow for further reductions in total healthcare costs.

2. Elimination of Copays

What It Is:

All copays for essential healthcare services (e.g., primary care visits, emergency care, prescriptions) are eliminated immediately under the plan.

How It Works:

- No Out-of-Pocket Costs at Point of Service: Patients receive care without paying upfront fees. This encourages preventative care, reducing expensive medical emergencies.

- Funding for Providers: Providers are reimbursed through the shared cost pool, ensuring they are compensated fully for their services.

Example:

- Before the Plan: A patient skips a $50 copay for a follow-up visit and later requires an ER visit costing $1,500.

- Under the Plan: The patient attends the follow-up visit for free, preventing the need for an ER visit. This lowers overall system costs and improves health outcomes.

3. Transition to a Nonprofit Model

What It Is:

All major healthcare providers and insurers transition to nonprofit entities over a five-year period. This removes profit motives from the system, focusing on delivering high-quality, affordable care.

How It Works:

- Redirection of Funds: Profits previously funneled to shareholders are reinvested into healthcare services, improving access and quality.

- Operational Efficiencies: By reducing administrative costs and eliminating profit margins, overall system expenses decrease significantly.

- Support for Private Practices: Independent providers remain autonomous but benefit from shared resources, grants, and tax incentives to reduce overhead.

4. Funding Mechanisms

The shared cost model and nonprofit transition are funded through a combination of new and redirected revenue sources:

1. Closing Tax Loopholes:

- Eliminates deductions like the carried interest loophole, which allows private equity firms to pay lower tax rates.

- Expected Revenue: $18 billion annually.

2. Wealth Tax:

- A 1–2% tax on net wealth above $50 million ensures the ultra-wealthy contribute fairly.

- Expected Revenue: $200 billion annually.

3. Corporate Responsibility Tax:

- Progressive tax rates on corporations with annual revenues exceeding $1 billion.

- Expected Revenue: Billions annually from major corporations.

4. Efficiency Savings:

- Transitioning to a nonprofit model reduces administrative waste by up to 30%.

- Expected Savings: $150 billion annually.

5. Redirecting Subsidies:

- Current government subsidies for for-profit healthcare are redirected to support the nonprofit system.

5. Protections for Private Practices

Independent private practices are critical to the system’s success and remain autonomous while receiving financial and operational support:

- Grants and Tax Breaks: Practices receive federal grants for operational upgrades and tax incentives for remaining independent.

- Shared Resource Hubs: Regional hubs provide administrative services like billing and IT, reducing overhead costs.

- Ban on Private Equity Buyouts: Legislation prevents private equity firms from acquiring independent practices.

- Integrated Referral Networks: Practices are connected with nonprofit hospitals and specialty clinics to streamline patient care.

6. Benefits for Families and Future Generations

Immediate Relief:

- Copays are eliminated, and individuals see a significant reduction in overall healthcare costs from Year 1.

Long-Term Affordability:

- As costs are phased down, families will pay less each year, while improved efficiencies keep the system sustainable.

Improved Access and Equity:

- Investments in underserved and rural areas ensure that everyone, regardless of location or income, receives high-quality care.

Healthier Generations:

- By encouraging preventative care and removing financial barriers, the plan creates a healthier society, reducing chronic conditions and medical emergencies over time.

How This Reshapes Healthcare

For Individuals:

- No copays.

- Reduced premiums and out-of-pocket expenses.

- Better access to care, especially in underserved areas.

For Businesses:

- Immediate reduction in healthcare contributions.

- Long-term savings as their share decreases over time.

For Providers:

- Financial stability through grants and subsidies.

- Freedom from private equity pressures.

For Future Generations:

- A sustainable, fair system that prioritizes health over profit.

Why This Plan Is Different

This plan breaks free from the profit-driven model that has dominated U.S. healthcare. By removing barriers like copays, transitioning to a nonprofit framework, and implementing shared costs, it creates a system that works for all Americans—today and in the future.

This is about putting people first, ensuring that healthcare is a right, not a privilege.

2028 is going to be amazing

This vision is bold, but it’s achievable with your support. Let’s work together to transform healthcare and create a system that works for everyone—not just the wealthiest few.

Together, let’s make healthcare fair, affordable, and accessible for all.

Vincent Cordova