Coverage is universal from day one and never partial. What improves over time is the distribution of travel times — a mean, a spread and a tail — moved down by density and staffing. A distribution has no completion state, so access is never reported as a percentage complete. It is measured by condition and time to definitive care, and its honest milestone is the crossover year when as many sites open as close: net-negative today, and plausibly a twenty-year horizon. This clock runs separately from the transition, and for longer.
Anchor
Access is a distribution
Coverage is universal from day one; what changes is how far people travel, measured as a distribution and a crossover year. Read component →
Anchor
Catchment assignment
Every county in the United States is assigned to exactly one Authority. There is no unassigned territory. Read component →
Anchor
The build
$94B over ten years — 0.78% of national health expenditure. Construction binds nowhere; nursing binds. Read component →
Anchor
The workforce pipeline
Admissions and compensation structure, not debt relief, decide where clinicians practise — and the rural generalist is the binding path. Read component →
Primary
Capacity payment and transport
Standby capability funded directly, with transport as the funded backstop where a local unit cannot be sustained. Read component →
Primary
Mental health, dental, vision, hearing
Physical sites for behavioural health, a dental benefit on a capacity ramp, and vision and hearing where the workforce already exists. Read component →