PHIERS.org
The Simple Math

The Math Congress
Doesn't Want You to Know.

A $600/year telehealth-first routine-care option can improve access while comprehensive protection remains in place for in-person, specialist, emergency and hospital services. Congress can act on the proposal now.

PHIERS analysis supports expected national annual savings potential exceeding $2 trillion, beginning with telehealth-first routine care while preserving comprehensive protection for in-person, specialist, emergency and hospital services.

Read the Healthcare Evidence Brief → Explore the evidence and calculation trail →


The Core Comparison

$10,000 vs $600.

Begin with a $600/year telehealth-first routine-care option while preserving comprehensive protection for other services, and pursue savings that can support:

All using existing law. No new taxes. No new bureaucracy. Just math.


The Cascade

Reinvest Savings to Expand Access.

Here's the part Congress doesn't want you to understand:

• The model starts with a $600 routine-care option alongside comprehensive protection

• Its illustrative gross comparison is $9,400, before other protection and implementation costs

• Reinvesting $9,400 could purchase 15 routine-care subscriptions at $600 each

• The model then explores further reinvestment under the same assumptions

• Actual expansion depends on realized savings, funding decisions and implementation

Realized savings can build capacity when they are reinvested.

The evidence brief sets out the assumptions. The PAM records the actual spending, implementation and results.


Nothing changes until ignoring people costs more than responding to them.
PHIERS is how we raise that cost.


The Mathematical Cascade

A Modeled Expansion Path.
234 Million Is the Scenario.

The model explores how reinvestment could expand routine-care access:

9
Modeled Iterations
234M
Modeled Routine-Care Reach
>$2T
Expected Annual Savings Potential
12×
Modeled Reinvestment Ratio

The arithmetic is a model. Funding and implementation turn potential into results.

Expected savings can be reinvested to expand access.
The PAM tracks what is funded, implemented and achieved.


Maximum Leverage

Why We Start With Medicaid.

Most reforms fail because they try to fix everything at once. PHIERS starts where:

The illustrative model compares $8,000 with $600 for routine care. Comprehensive protection and implementation costs remain part of the calculation. The Healthcare Evidence Brief provides the assumptions.

Medicaid is the pressure point. Once it converts, the rest of the system follows — ACA, private insurance, and the uninsured.

Put the evidence before Congress. Demand an answer on the public record.


Organized Participation

Why Congress Is Scared.

Sustained, organized participation creates political leverage.

When Americans organize by district, they can demand public answers and act together on the record. Over 100 million are already affected by this crisis.

Congress knows the math. Now you do too.


They Fear the Math.
Be Part of It.

Sign the petition. Do the math. Force Congress to answer.

✍ Sign the Petition
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