~$4.3T/yr
current system cost
Total annual cost of the fragmented U.S. healthcare system AFRA replaces.
The full plan
The American Fiscal Regeneration Act
AFRA restructures U.S. healthcare, taxation, and national capital formation to transform fiscal policy from debt accumulation to national wealth creation.
Purpose
One system, four outcomes.
AFRA treats the deficit, healthcare costs, Social Security solvency, and the national debt as connected structural problems, and restructures all three of healthcare, taxation, and national capital formation to:
- Provide universal single-payer healthcare
- Balance the federal budget
- Eliminate net national debt within 30 years
- Establish long-term national wealth through a Sovereign Wealth Fund (SWF)
1
Universal single-payer healthcare
Establish the United States Health Security Program (USHSP).
The USHSP covers all citizens and lawful residents at a lower total system cost than the fragmented status quo, replacing private insurance, Medicaid, the ACA, the Veterans Administration, and redundant federal systems.
Private insuranceMedicaidACAVeterans AdministrationRedundant federal systems
Financials
~$2.6-2.7T/yr
net federal cost
Projected net federal cost of the United States Health Security Program (USHSP).
~$0.30T/yr
administrative savings
Annual savings from consolidating duplicative insurance and federal administrative overhead.
Outcome: universal coverage at lower total system cost.
2
Revenue framework
About $3.66T-$3.70T in annual fiscal capacity.
AFRA builds annual fiscal capacity by shifting the tax base from wages toward wealth, capital, resource rents, and administrative efficiency.
- $1.6TWealth & Unrealized Gains Levy
- $1.0TCorporate & High-Earner Tax Reform
- $0.25TEstate & Inheritance Tax Modernization
- $0.20TNationalized Oil & Gas Revenues
- $0.06TTaxation of Churches (revenue-generating / political only)
- $0.30THealthcare Administrative Efficiency Savings
- $0.15TFlat-Rate Social Security Benefit Tax (above threshold)
- $0.10TSocial Security Home Lending Program
Total fiscal capacity
≈ $3.66T-$3.70T annually
3
Federal budget balance
Closing the gap on a Year 4-5 timeline.
Annual federal need
~$1.8T
structural deficit
The existing federal structural deficit that must be closed.
~$2.7T
net single-payer cost
Net federal cost of universal coverage under the USHSP.
~$4.5T
total annual need
Combined annual federal need AFRA's revenue framework must meet.
Revenue
~$3.66T
Total need
~$4.5T
Remaining gap
~$0.84T
Gap closure
- Federal price controls (healthcare + procurement)
- Phased implementation
- Targeted spending restraint
- Economic growth from increased household liquidity
Balanced budget timeline: Year 4-5.
5
U.S. Sovereign Wealth Fund (SWF)
A globally diversified national asset base.
Structure
- Annual contribution: ~$1.0T
- Capitalized via equity transfers + fiscal surplus
- Globally diversified investment portfolio
Return assumption
~4%
real annual return
Projected value
$12-14T
Year 10
$30-35T
Year 20
$55-60T
Year 30
6
Debt elimination model
From ~$38T in debt to net national wealth.
Current federal debt
~$38T
Interest rate assumption
~4%
Strategy
- 01Balance the budget (Years 4-5)
- 02Eliminate new borrowing
- 03Build national assets via the SWF
- 04Apply surpluses to stabilize debt growth
Outcome by Year 30
SWF assets
~$55-60T
Federal debt (range)
~$40-60T
National assets grow to offset or eliminate net public debt.
7
Economic mechanism (core logic)
Three aligned systems compounding over time.
01
Cost compression
Healthcare consolidation reduces system inefficiency and extends comprehensive coverage without preserving the old insurance maze.
02
Revenue realignment
The tax base shifts from wages toward wealth, capital, and economic rents.
03
Asset accumulation
The Sovereign Wealth Fund compounds national wealth over time instead of leaving the country dependent on new borrowing.
8
Household impact
What changes at the kitchen table.
- No premiums, deductibles, or surprise medical bills
- Increased disposable income
- Expanded homeownership access via Social Security lending
- Stable retirement benefits
9
Macroeconomic transformation
AFRA transitions the United States.
Deficit-dependent
Structurally balanced
Consumption-based
Asset-based
Debtor nation
Net asset holder
10
Final outcome (30-year horizon)
Debt accumulation becomes national wealth creation.
- Universal healthcare fully implemented
- Federal budget structurally balanced
- Social Security permanently solvent
- Sovereign Wealth Fund exceeds $50T
- Net national debt eliminated
AFRA transforms U.S. fiscal policy from debt accumulation to national wealth creation.
Social Security modernization
Permanent solvency plus asset generation.
Revenue additions
$0.15T
benefit taxation
Taxation of Social Security benefits for upper-income recipients only.
$0.10T
home lending returns
Returns from the Social Security single-family home lending program.
Structural reform
The Trust Fund becomes an active capital allocator, issuing low-interest single-family home loans. The result is permanent solvency paired with national asset generation.