It's Not Socialism.
The Reality Check

It's Not Socialism.

It's Common Sense.

The moment you say "national health plan" or "single payer for essential care", some people hallucinate a communist hospital: Stalin as chief surgeon, Mao running radiology, Castro denying your referral, and you waiting three winters for an MRI. Then they do the greatest hits. "British teeth." "Canada waits two years to have a baby." Cool. Now let’s unpack what SAFECARE actually does.

What people mean when they scream 'socialism'

When someone calls this 'socialism', they are usually mixing three different fears:

Soviet Style Command Economy

  • Government owns everything.

  • Government decides which factory makes which syringe.

  • Party functionaries decide who gets care.

No Choice & Endless Lines

  • You get assigned a doctor like a prison guard.

  • You wait months for anything.

  • Officials shrug because there is no alternative.

Caricatures

  • 'Bad British teeth'.

  • 'Grandma died waiting for a hip'.

  • Horror stories from 3rd hand sources.

None of that is what SAFECARE does. Not even close.

What this plan actually is

This plan does something much more boring and sane. It says:

  • There is one basic national plan for essential health care.

  • Everyone who is a legal resident is in the same basic national risk pool.

  • Basic funding comes from dedicated contributions: an 8.0% employer payroll contribution, and a 3.5% base personal contribution on Modified Adjusted Gross Income, collected mostly by wage withholding with annual reconciliation, plus a personal high-income surtax up to an 8.0% marginal rate above 500,000 dollars. Social Security, VA benefits, and up to 100,000 dollars of retirement distributions are excluded from the contribution base, the 199A qualified business income deduction is preserved, the Medicare Hospital Insurance payroll tax is replaced on the main implementation date, and the Net Investment Income Tax is repealed so investment income is not hit twice.

  • There are no deductibles. Cost sharing is limited to modest copays with a hard annual cap (per person).

  • Doctors and hospitals mostly stay exactly what they are now: private, nonprofit, mixed. SAFECARE pays the bill for essential care under one rulebook.

It is not the Soviet Union. The government is not nationalizing clinics or turning doctors into federal employees. It is replacing the paperwork wars and surprise billing with one essential-care payer and clear rules, while allowing private supplemental add-ons.

What this plan actually is

Infrastructure, not Politics

It treats basic health like infrastructure. Exactly like roads, airports, sewage, clean water, and yes, the military.

You already live inside 'socialized' systems every day. You drive on public highways. You call the fire department and nobody asks for your credit card. You rely on the Navy to defend shipping lanes.

Nobody screams 'Stalin, Mao, Ho Chi Minh, or Castro' when a firefighter puts out your neighbor’s house.

SAFECARE also uses modern analytics to spot fraud patterns across the entire claims stream and to measure administrative burden. AI is used for pattern detection at scale, with human review and appeals before final adverse action.

On drugs, SAFECARE uses a national formulary with negotiated net prices and an international reference ceiling so Americans are not charged multiples for the same medicine.

Infrastructure, not Politics
Choice is not going away. It becomes real.
THE CHOICE

Choice is not going away. It becomes real.

The Scare

"The scare line is 'This takes away choice'."

Currently:
  • Your employer chooses your insurer.

  • Your insurer chooses your network.

  • If you lose your job, your 'choice' evaporates.

The Reality

"In reality, the American system already takes away choice. It just lies about it."

Our Plan:
  • You keep real choice of doctor as long as they participate (most will).

  • You keep that doctor even if you change jobs.

  • Private insurance can only offer add-ons, not deny essential care.

The fake choice of 'paperwork flavors' disappears. The honest choice of 'Which doctor do I trust' appears.

'Socialist Queues' vs Invisible Rationing

Let us say something that makes people uncomfortable. Americans already wait. The difference is how.

In the UK or Canada, delays are mostly on non-urgent elective procedures. But if you have a heart attack, you are seen immediately.

In the US, we ration by fear and bank account. People wait months because nobody will see them without insurance. People skip follow-ups because the deductible is higher than their rent.

There are 'no lines' in front of the MRI because people are staying home and getting worse.

Real waiting lines are shorter when you have preventive care. In other countries, they catch problems early. In the US, we suffer from the 'tough guy' culture—the dad who glories in never seeing a doctor—until he collapses from a preventable heart attack. That is not freedom; that is unnecessary tragedy.

'Socialist Queues' vs Invisible Rationing

Ghost Stories from Abroad

There is an entire industry dedicated to scaring Americans with horror stories. 'British teeth'. 'Two year waits for babies'.

Reality is messier. Germany, France, and the Netherlands use regulated social insurance with strong price discipline. Different architecture, same lesson: universal coverage does not require Soviet medicine, and it does not require American prices.

Do waiting times exist? Yes, when budgets are tight. That is a political choice. Do they involve 'two year waits for baby delivery'? No. Babies come when they come.

The idea that you will wait behind three people while your tumor grows is a fairy tale sold to keep you comfortable with going bankrupt instead.

Ghost Stories from Abroad

Hating a System You Don't Know

Americans are not rejecting European systems. They are rejecting a scary story about them. When you describe this plan anonymously—'One national plan, covers everyone, free choice of doctor, no surprise bills'—most people say 'yes'. When you label it 'socialized medicine', they say 'no'.

You do not have to love Europe to understand this. You want American factories with healthy workers. You want American small businesses not crushed by premiums.

If someone says 'We don't want the European system', the honest answer is: 'You don't know what that system is. You know campfire stories. I am asking if you want to keep paying the highest prices on earth for a system that bankrupts you.'

Hating a System You Don't Know

A Giant Insurance Fund

This plan is basically a very large, very boring insurance pool for essential care. The public collects money, sets rules, and pays claims.

Doctors are not told what to prescribe. Hospitals are not micromanaged. They simply bill one national payer for essential services instead of 20 different insurers.

Private insurance still exists for add-ons and amenities. What disappears is the ability to sell duplicative basic coverage and then deny the basics.

A Giant Insurance Fund

Why 'Losing Money' is the Wrong Metric

People say "USPS loses money." They forget: private companies only build what makes money. Governments build what the country needs.

SAFECARE treats essential care like infrastructure, but it is not written as a blank check. The bill sets a Trust Fund reserve target band and an automatic stabilizer that adjusts contribution rates in small, capped steps if costs drift.

It also limits reliance on general federal revenues over time through a dedicated-funding convergence schedule, so the plan cannot quietly turn into permanent deficit financing.

In other words: it is infrastructure with a governor, not a fantasy with an open tab.

Why 'Losing Money' is the Wrong Metric

Health as State Investment

Health care is not just kindness. It is state self-interest. You need a healthy workforce for productivity. You need reasonably healthy citizens for a strong military.

You don't privatize the army. You don't wait for investors to build rural roads. Health is in the same category.

You can fund it upfront as infrastructure, or pay a higher price later in disability, prisons, and social collapse.

Health as State Investment

What is this, if not 'Socialism'?

Call it Social Insurance. National Health Infrastructure. Boring Adult Policy. It is a recognition that health care is closer to roads and power grids than to movie tickets. If someone still shouts 'Socialism', ask if they want to abolish public roads, the fire department, and the Marines first.

Will it work perfectly? The Nirvana Fallacy

No. No serious plan works perfectly on day one. The Framers didn't write a perfect Constitution; they built a process to patch it (Amendments). Social Security and Medicare had gaps that were fixed over decades.

The 'Nirvana Fallacy' is comparing a real plan to an imaginary flawless system, then rejecting the real plan. It is a recipe for never changing anything.

A national program like SAFECARE will have bugs. If wait times spike, we adjust. If formulas distort, we fix them. But demanding a flawless design before starting is just a tactic to defend the status quo.

It will not work perfectly on day one. But it will work better than a system that bankrupts millions. And it is designed to be refined in public view, with published performance metrics, independent audits, and automatic financial stabilizers rather than quiet bailouts.

Will it work perfectly? The Nirvana Fallacy