Leiflets Central Universal Health Insurance Financing Scenario

Illustrative mature annual financing scenario expressed in approximately 2024-equivalent dollars. This is a Leiflets research model, not a CBO, CMS, JCT or actuarial score.

Last updated: September 22, 2026#universal-healthcare#healthcare#health-financing#employer-contributions#household-contributions#federal-financing

Core universal medical-insurance target

Annual Amount$3.950 trillion

Evidence ClassificationLeiflets model assumption

StatusCentral planning target

Existing public-financing bridge

Annual Amount$1.738 trillion

Evidence ClassificationLeiflets calculation

StatusModeled proxy; not guaranteed transferable cash

Employer health contribution

Annual Amount$650 billion

Evidence ClassificationLeiflets model assumption

StatusUncalibrated placeholder

Household health contribution

Annual Amount$300 billion

Evidence ClassificationLeiflets model assumption

StatusUncalibrated placeholder

Remaining additional federal financing

Annual Amount$1.262 trillion

Evidence ClassificationLeiflets calculation

StatusConditional on all preceding assumptions

Component	Annual Amount	Evidence Classification	Status
Core universal medical-insurance target	$3.950 trillion	Leiflets model assumption	Central planning target
Existing public-financing bridge	$1.738 trillion	Leiflets calculation	Modeled proxy; not guaranteed transferable cash
Employer health contribution	$650 billion	Leiflets model assumption	Uncalibrated placeholder
Household health contribution	$300 billion	Leiflets model assumption	Uncalibrated placeholder
Remaining additional federal financing	$1.262 trillion	Leiflets calculation	Conditional on all preceding assumptions

Notes

The $3.95 trillion target is a post-reform planning envelope, not an official cost estimate. Modeled provider-payment, administrative and prescription-drug savings must not be subtracted again from this target as separate financing sources. The employer and household contribution amounts remain uncalibrated until distributional and tax-base modeling is completed.