VI. The (Ascendant) 2026 United States Health Care System (USHCS) Contract
- T Michael White MD FACP
- Jan 17
- 9 min read
Updated: 2 days ago
The United States Health Care System
(USHCS) Created
Common Sense II
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)
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VI. The (Ascendant) 2026 United States Health Care System (USHCS) Contract
“We have it in our power to begin the world over again.”
Thomas Paine
If the previous chapter (V. The (Indefensible) 2025 United States Health Care Non-
System Contract) proffers an indefensible and unsingable contract between United States citizens and a United States health care non-system (and it does), then what would a reasonable United States health care system approximate? Beginning our health care world anew…
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The (Ascendant) 2026 United States Health Care System (USHCS) Contract
July 4th
Fine Citizen of These United States
Greetings.
“We have it in our power to begin the world over again.”
Thomas Paine
To preserve the career, education, food, health, housing and retirement securities of
our citizens and advance the security of our institutions, communities, national
economy and our nation, our fine United States has designed and implemented, as
infrastructure: The United States Health Care System (USHCS).
This infrastructure is supported by your personal and by corporate tax dollars.
Remembering Thomas Paine (“What we obtain too cheap, we esteem too
lightly.”), we must each pay our way.
Careful design will 1) eliminate the prevalent health care culture of abuse,
bureaucracy, duplication, fraud, greed, inattention and waste that provides
leaderless, inefficient, unaffordable health care. Pricing, technology and
administrative costs will be addressed; and 2) provide each citizen access to
affordable, basic/necessary, compassionate ꟷ safe, timely, efficient, effective,
equitable/just, patient-centered care (ABC-STEEEP).
The United States Health Care System (USHCS) is administered by the United
States Health Care System Administration (USHCSA). The USHCA incorporates
the following expertise:
Artificial Intelligence
Business Administration
Customer and Employee Satisfaction
Cyber Security
Ethics:
Covered Services
End of Fife Issues
Technology
Finance
Medical School and Graduate Medical Education
Medical Literacy
Nurse and Support Staff
Physician and Physician-Extender
Public Health
Safety and Harms Prevention and Adjudication
Your signature below signifies that you understand and agee to the following regarding your (ascendant) 2026 United States Health Care System (USHCS) Contract. To assist you with a comprehensive understanding, please leisurely chat with Chatbot ‘Wisdom’ at USHCS.com/FAQs. Chatbot ‘Wisdom’ is prepared to patiently clarify any concerns that you may have.
The United States Health Care System (USHCS) is tax-supported infrastructure that
provides each citizen with universal access to affordable, basic/necessary,
compassionate ꟷ safe, timely, efficient, effective, equitable/just, patient-cented
care (ABC-STEEEP). It is supported by the United States Treasury. It is administered
by the United States Health Care System Administration (USHCSA). All clinical
provider claims are adjudicated by the USHCSA.
The United States Health Care System (USHCS) provides all citizens access to affordable, basic/necessary, compassionate ꟷ safe, timely, efficient, effective, equitable/just, patient-centered care (ABC-STEEEP). With the creation of the USHCS, most employers will cease offering employer-sponsored health care insurance. Medicare, Medicaid, the Veterans Administration and Congressional health care will be sunsetted ꟷ as the Canadians are proud to say, “the process is the same for the janitor and the judge.” A separate health care system will be run by the Pentagon for active military. Insurance companies may continue to offer private health care insurance policies for those who desire an alternative system of care.
Each citizen will voluntarily choose to join The United States Health Care System
(USHCS) which stands at the ready to serve all. Having contributed their taxes in
support, it is anticipated that most citizens will at some point in time take advantage of and utilize their USHCS benefits.
The United States Health Care System (USHCS) is a single payer (The United States
Treasury/United States Health Care System Administration) system. Care is provided by regional health care systems that have been selected on the basis of their proven ability to offer Health Care Value where value equates to quality and safety divided by cost (Q/S ÷ $). Depending upon populations, a regional system may serve cities, counties, states or regions of the country.
Your personal regional (33756) United States Health Care System is administered by the ascendant Boca Ciega Bay Health Care System that meets the following stringent United States Health Care System (USHCS) requirements:
Not for profit;
Fiscally sound;
Commands public health, medical education and medical ethics expertise;
Manifests computer science and cybersecurity proficiency;
Has sponsored an ascendant, successful, nationally recognized 5-Star rated
Medicare Advantage Plan:
That provides public health care, primary care (including behavioral,
obstetric and pediatric care), urgent care, emergency care; specialty and
sub-specialty care; home care; hospice care and prescription plan.
This I seamlessly connected with quaternary care ꟷ the General Tampa
University Center.
That proffers external regulatory-body evidence (for example, The Joint
Commission) of consistent provision of compassionate, safe, timely,
efficient, effective. equitable/just, patient-centered care (C-STEEEP);
That proffers external regulatory-body evidence (for example, Leapfrog
Hospital Safety Grade) of superb clinical, quality and safety, and patient
and provider (clinician) satisfaction scores;
That will participate in a national USHCSA process to identify, address,
adjudicate and compensate patients who have been avoidably harmed;
and
That passes an ongoing stringent USHCS forensic auditing process that
identifies ethical fiscal practices that prevent duplication of services,
fraud and abuse.
Your Boca Ciega Bay Health Care System meets or exceeds all requirements (and
in fact, serves as a national paradigm for USHCS regional health care systems). Your
Boca Ciega Bay Health Care System serves Florida’s Hillsboro, Pasco and Pinellas
Counties.
The United States Health Care System (USHCS) addresses (ABC-STEEEP). It does not address long-term domiciliary considerations (i.e., housing/room and board).
The United States Health Care System (USHCS) is supported by personal and corporate income taxes and is funded by the United States Treasury. The USHCS is required by legislation to function deficit free. Paraphrasing Thomas Paine: Rather than “running the next generation into debt, we ought to do the work of it; otherwise, we use them meanly and pitifully.”
The United States Health Care System (USHCS) is designed to protect each citizen from devastating health care bills that 1) jeopardize personal (education, food, health, housing and retirement) securities; and 2) threaten institutional (hospital), community, economy and national securities.
By signing below, you will voluntarily enroll in the United States Health Care System
(USHCS). It is ready (cradle to grave) to serve you. Importantly, once enrolled, you are not required to use it. Importantly, although not ideal, you may enroll at your first
requirement for emergent care.
If you desire to purchase additional health care insurance (or otherwise fund your
personal health care) you are free to do so. For clarification: 1) the United States Health Care System (USHCS) will not be responsible for any charges incurred outside of the system; and 2) even if you choose not to utilize the USHCS your tax dollars will continue to support the United States Health Care System (USHCS)
How does the United States Health Care System (USHCS) work? Basically
Should you perceive a medical emergency, always immediately call 911.
Elementary and remedial education programs will begin to arm each citizen with requisite literacy and computer skills to enable interface with the USHCS.
The United States Health Care System Administration (USHCSA) defined covered necessary care ꟷ care that is covered by the United States Health Care System (USHCS). In large part, necessary care approximates care formerly covered by Medicare.
From day one you have access to affordable, basic/necessary, compassionate, safe, timely, efficient, effective, equitable/just, patient-centered care (ABC-STEEEP).
Your coverage is portable throughout the United States and Territories.
Recognizing no man/woman can be an island, depending on your personal
circumstance (age, computer literacy, education, hearing, language, vision, etc.) you may, from time to time, need support from significant others (family, friends, etc.) to take full advantage of your United States Health Care System (USHCS) benefit.
As a first order of business, you will choose your Primary Care Team from a list ꟷa team led by professionals prepared to efficiently address your age, gender and chronic conditions. Your Primary Care Team leadership is specifically trained in primary care and public health population management.
Your primary computer/phone contact will be (per your choice) ‘Osler’ (a male voice), ‘Nightingale’ (a female voice) or ‘Robot’ (an electronic voice) ꟷ who will function as your caring, expert, personable USHCS Artificial Intelligence (AI) Primary Care Team 24/7/365 starting point. This artificial intelligence resource will efficiently assist you to: 1) longitudinally organize and manage your care; and 2) begin to address your acute care needs (remember in a perceived medical emergency always immediately call 911).
Your vital signs (temperature, respiration rate, heart rate, pulse oxygen, blood sugar and weight will be readily monitored electronically. This will provide powerful immediate clinical information in real-time and (diminish the need for many routine office visits).
If you do not have access to phones or computers, local pharmacy-based public resources will provide privacy, phones and computers for you to schedule at your convenience.
Your chosen age, gender and chronic condition appropriate physician-directed Primary Care Team will serve as your USHCS gatekeeper. With your USHCS AI support, your Primary Care Team will compassionately, efficiently and effectively:
Maintain your up-to-date, accurate personal medical record;
Manage your longitudinal care including public health recommendations
(for example, vaccinations) and cancer detection (for example, breast,
colon and prostate screening).
Address your acute care concerns and triage your care (as appropriate) to
virtual, Primary Care Team office, urgent care, emergency medicine;
hospital; specialist consultation; home care; and/or hospice care.
Prepare you to efficiently interface with your Primary Care Team and
consultants.
With USHCS AI pharmacy support, manage your medications avoiding
duplication, polypharmacy and drug/drug interactions.
Assist you to participate in activities (diet, exercise, etc.) that will advance
your well-being.
Assist you (with AI support) to interface with an extensive medical library
(supported by the Cleveland Clinic and the Mayo Clinic)
Continuously educate you regarding (specific to you) health care issues.
Many interventions that have traditionally required physical office visits
will be addressed efficiently and effectively through convenient, efficient,
effective, real-time virtual interactions.
As mentioned, each patient will be assigned to an appropriate Primary Care
Team. Patients with complex chronic conditions (for example, cardiology,
endocrinology, oncology, nephrology, neurology, rheumatology) that dominate
their care needs will be assigned to a Primary Care Team that has advanced
expertise in addressing the longitudinal care of their specific chronic condition.
Beyond taxes, you may have some out-of-pocket expenses:
There will be no premiums, deductibles or co-insurance;
To ensure judicious/thoughtful use of services on your part, certain
services (for example, urgent care, emergency room) will require a
modest co-pay. If you are referred by your Primary Care Team, there will
be no co-pay:
USHCS basic dental, hearing and vision insurance is provided. You may
encounter charges for additional complex care;
While your USHCS coverage is portable throughout the United States and
Territories, you may choose to purchase, for a modest fee, supplemental
USHCS travel insurance to cover emergency care when you venture
beyond prescribed borders.
You will encounter out-of-pocket expenses if you:
Independently engage treatments outside of the United States
Health Care System;
Independently engage treatments beyond the scope of the United
States Health Care System;
Independently engage in care not authorized by your Primary
Care Team and engaged consultants; and/or…
Insist on care which, after careful expert ethical review, is deemed
unnecessary and/or futile.
As previously mentioned, you may purchase private insurance for or
otherwise fund care outside of the United States Health Care System
(USHCS).
As you enroll in the USHCS you are being made aware and agree:
You are entitled to enroll in the USHCS. Your health care system is not a right ꟷ
as infrastructure (like highways), it is a privilege for you to appropriately utilize to
enhance your well-being.
Your privilege is accompanied by a responsibility for you to actively participate in preserving your health and facilitating your care. By signing below, you are
agreeing to consider your health care as your job #1 ꟷ a job that requires you to
be dedicated to being informed about and involved in your health care.
It is your responsibility to protect your personal identifiers (username and
password; etc.) Sophisticated security systems are in place to detect
inappropriate usage. Identified inappropriate usage will be prosecuted to the
full extent of the law.
Sophisticated security systems are in place to detect patient, health system or
provider (clinician) fraud and abuse. Identified fraud and abuse will be
prosecuted to the full extent of the law.
Importantly, habitual noncompliance with care on your part will be investigated
and measures to ensure compliance will be designed and implemented. In the
event of habitual noncompliance, you may be assigned to a Primary Care Team
with expertise in such matters. If, despite best efforts, inveterate, habitual
noncompliance persists, in rare circumstances, persistent abuse of privilege will
be considered as grounds for dismissal from the United States Health Care
System (USHCS). You will have rights and there is a process to challenge your
dismissal.
This brings us to your signature. The United States Health Care System (USHCS) looks forward to serving you….
Ideally, once you have agreed and submitted this signed contract, please, at
your convenience, begin to chat with your preferred expert Chatbot (Osler,
Nightingale or Robot) who will be pleased to hear from you and will efficiently
move your care forward.
However, your first encounter may be the result of an acute care (accident or
illness) need.. No worries ꟷ all will efficiently fall into place.
Signature:_________________________________ Date:______________
Respectfully submitted with fondest personal regards,
United States Leadership
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After review, this contract 1) provides universal access to affordable, basic/necessary, compassionate ꟷ safe, timely, efficient, effective, equitable/just, patient-centered care (ABC-STEEEP) as taxpayer funded infrastructure; and 2) ensures both personal career, education, food, health, housing and retirement securities and the securities of our institutions, communities, national economy and our nation.
You may leave an anonymous comment without inserting username and email ꟷ please do. Please share your wisdom, insights and perceptions (your reality) about what I have right, have wrong and/or have omitted. I will be delighted to hear from you as this draft and subsequent chapters will be significantly enhanced.
Best regards, Dr. Mike
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