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Beyond the Affordable Care Act: A Physicians’ Proposal for Single-Payer Health Care Reform establishes the vision and principles that will empower Americans to replace our expensive, inadequate, and inefficient collection of health care systems with an improved Medicare for All.

The proposal outlines the general structure of a single-payer system for the United States, including coverage and eligibility; physician and outpatient care payment; global budgeting of hospitals; health planning and capital investments; coverage for medications, devices, and supplies; the establishment of a national long-term care program; cost-containment; and single-payer financing. The proposal also demonstrates the shortcomings of alternatives to National Health Insurance, including the Affordable Care Act..

• Download the full proposal as a PDF document or read the proposal on our website.
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• Endorse the proposal, either as a physician / medical student, or as a non-physician health professional / reform advocate outside the health professions.
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• Read a summary of the proposal and an associated fact sheet on health care in the United States. Also, note the number of uninsured by state as of 2014.
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• Record a short video testimonial in support of the proposal. To view sample testimonials, please visit our YouTube page.
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• Read an editorial written by the proposal’s authors and consider writing your own op-ed.
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• Read the press release announcing the publication of the proposal in May 2016 or access content from the introductory news conference.
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• Read prepared statements by PNHP president Robert Zarr, M.D.; PNHP co-founder and proposal co-author Steffie Woolhandler, M.D., M.P.H.; proposal co-author Adam Gaffney, M.D.; and Karen Higgins, R.N. of National Nurses United; as well as transcribed remarks by PNHP national coordinator Claudia Fegan, M.D. and Sidney Wolfe, M.D. of Public Citizen.
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• Support the movement for single payer in the United States by joining PNHP or by making a financial donation.
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We are confident that the Physicians’ Proposal points the way toward a more comprehensive, efficient, and humane health care system. With your help, we can make single payer a reality and ensure quality, affordable health care for all.