102. The Creation of the United States Health Care System ꟷEnabling Legislation
- T Michael White MD FACP

- Nov 17
- 2 min read
Fixing United States Health Care - Letters to the File
Part I. The Hot Mess
Part II. The Solution
by
T Michael White MD FACP

The Realization of Universal Access to ABC-STEEEP
(Affordable, Basic, Compassionate - Safe, Timely, Efficient, Effective, Equitable/Just, Patient-Centered Care)
******
102. The Creation of the United States Health Care System ꟷ Enabling Legislation
“Now this is not the end. It is not even the beginning of the end.
But it is, perhaps, the end of the beginning.”
Winston Churchill
“Coming together is a beginning; keeping together is progress;
working together is success.
Edward Everett Haleinsert
The WhiteHouse on the Belleair Bluff
Thursday, November 6, 2025
Dr. Mike,
A letter to the file…
With coffee poured, jump right to it. Using broad brush strokes, after the health care
cataclysm, our enlightened Congress has passed (and our courageous President has signed) legislation that creates The United States Health Care System. This legislation:
Recognizes that our fine country’s economic stability and national security require a designed, implemented and maintained health care system that provides all eligible
residents with universal access to ABC-STEEEP (affordable, basic, compassionate, safe, timely, efficient, effective, equitable/just, patient-centered care).
Names the system The United States Health Care System (USHCS).
Recognizes The United States Health Care System (USHCS) to be national infrastructure.
Directs the United States Treasury to fund (deficit free) The United States Health Care System (USHCS) through personal and corporate income taxes.
Requires The United States Health Care System (USHCS) to:
Create an ascendant culture that endeavors daily to deliver ABC-STEEEP to the
eligible residents of our fine country;
Function as a not-for-profit organization;
Ensure quality and safety;
Identify, address, adjudicate and compensate harms;
Excel in customer/client/patient/family satisfaction;
Enhance health care education and literacy;
Demonstrate fiscal efficiency and accuracy;
Prevent duplication, fraud and abuse; and
Be dedicated to continuous scrutiny of processes and continuous improvement.
Importantly, this legislation appoints you, T Michael White MD, as The United States
Health Care System (USHCS) Czar and wisely provides you with unlimited executive decision-making authority.
Dr. Mike, even you must agree this is a very good start. OK, this done, get to work.
Respectfully submitted with fondest personal regards,
Dr. Mike
You may leave an anonymous comment without username and email ꟷ please do. Please share your wisdom, insights and perceptions (your reality) about what I have right, wrong and/or omitted. I will be delighted to hear from you as this draft and subsequent chapters will be significantly enhanced.
Dr. Mike
Letters to the File ꟷ Part II
101. Introduction to Part II ꟷ The Solution
102. The Creation of the United States Health Care System ꟷ Enabling Legislation
(more to follow)


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