Let’s face facts: private insurance has a massive workforce of administrators, and they have teams of doctors who work from home acting as individual “death panels” that decide what private insurance will and will not cover.
Factually, the USA will never be able to create a Universal Healthcare system when the average physician’s salary is $381,000 in 2025. However, a solution exists, and it should be a 10-year plan to build out healthcare for the masses without replacing private health insurance.
Where does this work? Brazil. Brazil has a wonderful private health insurance system—the Cadillac of coverage—and a sub-tier government service that meets the needs of the poor. The public program is not a great program, but it is factually better than private options in rural regions.
In Brazil, for elective surgeries, a person may be provided bus fare from the government to travel to a hospital in the nearest big city, 8 hours away. It is actually less expensive to house the patient in a ward of the hospital with 20 other patients in the same room than to pay for the patient to be housed in a hotel. This is a shocking issue, since the average overnight stay in the USA ranges from $1,400 to $5,000.
The plan is simple: if a business has more than 100 employees, it should fund private healthcare for those employees and their families. To encourage full-time employees, even part-time employees should qualify for health insurance. If the average salary of employees at a company with fewer than 100 employees is over $80,000 per year, then the employer should pay for health insurance. This applies primarily to accountants, law firms, and other white-collar service businesses.
If a family of four makes less than $80,000 per year, they should qualify for Medicaid. However, this wouldn’t be with $381,000 doctors. The solution is to flood the USA with low-cost Brazilian, South African, Russian, and Indian doctors and provide them with salaries of $100,000 a year for 10-year contracts to work at the VA, as well as other hospitals bought by the U.S. government out of bankruptcy.
If there is a standard difference in medical standards between doctors in Brazil and the USA, then the doctors from Brazil should be automatically set up as Physician’s Assistants until they take their exam to be a certified doctor.
The way to build this is slowly and methodically, allowing Medicaid patients to use VA hospitals, which would be newly staffed with inexpensive foreign doctors. The way to expand from 170 VA hospitals is to have the VA assume control of every hospital that closes its doors or enters bankruptcy.
In 2022, there were 19 hospital closures; these should have been purchased by the VA to expand services and capacity for Medicaid patients. In 2023, there were at least 13 hospitals that closed. In 2024, at least 24 hospitals and hospital companies closed. Some of these companies had several facilities in many states.
The point is that hospitals are always closing and failing, so it isn’t necessary for the U.S. government to spend $250 billion building 500 new hospitals in the USA when acquiring bankrupt or closed hospitals is already a possibility. Over ten years, the VA would go from 170 hospitals to at least 350 and be able to handle a much larger capacity of both veterans and people in poverty. Additionally, numerous outpatient facilities would be added, as many hospitals in numerous states have these facilities that also close when the hospital closes. This plan just shows why Washington Politicians have no immagination on how to have original thought to fix the countries problems.
Democrats who want this should not frame it as a plan to build out universal healthcare, which is a toxic argument and something Republicans will do everything in their power to block. However, Democrats will receive less pushback if they frame the argument that the VA needs to be expanded fivefold.
Inexpensive Physician’s Assistants and doctors will bring costs way down for the VA system. Imagine acquiring 2.5 foreign doctors from Brazil for the price of 1 U.S. doctor. In 2025, VA doctors’ salaries ranged from $217,000 to $256,000. Foreign doctors save the U.S. government money while expanding care, which pushes traditional VA doctors who want to maintain higher salaries into the private sector.
The goal of this entire program is to bring doctors’ salaries in the United States down to below $200,000 with a flood of foreign doctors who would first be categorized as Physician’s Assistants. The next goal is to add to the VA hospital network and build it out to be all over the USA. The next goal is to make it so that staying in a hospital overnight is less expensive than staying in a hotel.
This is not designed to be a Cadillac healthcare system, this is designed to be a very basic healthcare system. It is designed to have large wards that are inexpensive to manage, with nurse technicians making $20 dollars an hour instead of nurses. We have to think back to the past, to the 1940’s, how the hospitals may have had 20 people to a larger room, when rationing was a thing, but everyone was still treated.
It is better than now, when a person has two Option, incredibly expensive coverage, or no coverage. A person has an option of their own room, or no room. The Industry and politicains has pushed for the best healthcare system in the world for the people who can afford it, or no healthcare, or the option of accepting the best healtcare system and then going bankrupt to cover the bills.
I am not promoting the best healthcare system, I am promoting coverage for everyone who needs it, a coverage which will certainly have flaws, however it will give the families a choice, flawed coverage but seeing a real doctor, versus astronomicaly expensive coverage and going homeless.
To Socialists Who Read This:
In Cuba and the Soviet Union, the government offered healthcare; however, the hospitals were basic, with low-end technology and a ward structure. For those who believe China is the way, there is no universal healthcare in China. Although it is a communist country, its healthcare system is 100% capitalist, and a person is required to pay for their own care.
To People on the Far Right:
You hate big government and want people to fend for themselves. However, it is not working. People have been fending for themselves for 45 years, ever since the working poor became a class. They must be helped, as the current system is not working for them. As much as you claim to hate big government, you are most likely a Christian and whether you like it or not people need affordable healthcare and this plan works.
