Engine 2
Distributed Healthcare

Limits

What the program sacrifices, where it stays inefficient, how it fails, and the statutes none of it works without.

HealthcareArchitectureCoverageTransitionCapacityGovernanceLimits

Every design choice buys one outcome and costs another, and the second half is stated rather than hidden. The highest-probability failure is partial price reform with full benefit expansion — a reversal of sign rather than a narrowed advantage. Geography imposes irreducible cost that no payment design removes; the correct category is universal service obligation. And nothing here follows automatically from single-payer financing: thirteen separate statutes are named, because assumed preconditions are how programs discover in year three that a load-bearing law was never passed.

Anchor
Failure modes
The highest-probability failure is partial price reform with full benefit expansion — a sign reversal, not a narrowed advantage. Read component →
Primary
Tradeoffs accepted
Every design choice buys one outcome and costs another. The statute names both rather than hiding the second. Read component →
Primary
Residual inefficiencies and legislative dependencies
What stays broken after the reform, and the separate statutes none of it works without. Read component →
Other categories: Architecture · Coverage · Transition · Capacity · Governance · Engine 2 overview