Reforming American Healthcare Act: Focus on Appropriations and Spending

 RAHA 

Resolved by the United States Congress (both houses concurring therein) that the following be made into a persistent law of the United States:

Reforming American Healthcare Act

Long title: Fiscally responsible healthcare for all Americans 

Section 1: Defunding

The following law is defunded (no further money may be spent from the U.S. Treasury nor may money paid to the U.S. government be used to fund the execution of the following law): the Affordable Care Act (H.R. 3590 passed to become Public Law 111-148).

This Act requires all funding to permanently stop for the Temporary Assistance for Needy Families (TANF) program.

This Act requires all federal funding of Medicaid to permanently stop.

This Act requires all federal funding of Medicare Part C (otherwise known as “Medicare Advantage”) to permanently stop.

Section 2: Appropriations and Taxes

$5,000,000,000 is appropriated to the Internal Revenue Service to pay salaries of their employees responsible for collecting the following taxes (which are expected to together raise $660.5 billion per year):

1. If you (or the entity you are filing taxes for (referred to as “you” for simplicity)) make property (that you own or have a controlling interest in) available to a person or entity (the “renter”) for a fixed regular price (as opposed to a one-time fee), and that person or entity vacates the premises (or “hands back the keys to the landlord” in modern parlance, if not literally), but that renter still “owes money” or is told to “pay a fee” (or similar remuneration) to the owner of the property or the person or entity with a controlling interest in the property, 50% of that remuneration must be paid as a tax to the IRS, and the owner of the property or the person or entity with a controlling interest in the property cannot raise the amount owed or fee charged (or whatever remuneration) on account of this tax. (i.e. the person or entity charging any form of back rent or inspection fee or whatever must “eat the cost” of the 50% tax on that back rent or inspection fee.)
2. If you (or the entity you are filing taxes for (referred to as “you” for simplicity)) make property (that you own or have a controlling interest in) available to a person or entity (the “renter”) for a fixed regular price (as opposed to a one-time fee), and the fixed regular price is amortized to greater than $770 per month for each person who is generally present on that property long term on behalf of the renter, then you must pay a 50% tax to the Internal Revenue Service on the rent you receive, as well as, if you have raised the rent in the previous 730 days, an additional 1% of the total rent is charged as tax owed to the Internal Revenue Service for each 1% the rent has increased on a monthly (amortized) basis relative to the amortized monthly rent charged on that same property (regardless of whether or not the renter is the same person) between 730 to 365 days prior. This is known as a “tax on high rents.”
3. If you (or the entity you are filing taxes for (referred to as “you” for simplicity)) make property (that you own or have a controlling interest in) available to a person or entity (the “renter”) for fixed regular price (as opposed to a one-time fee), and that renter is removed from the property without their consent (either through being locked out of the property or getting their stuff forcibly removed or getting evicted), then you are required to either pay $384,777 as a tax to the Internal Revenue Service or enter into a debt contract with the IRS where you are required to pay $628 + (the amount of interest the U.S. government paid on bonds that year)/(the face value of all U.S. government bonds currently outstanding)*15697 each month for the next 50 years. This is known as a “tax on evictions”.
4. If you (or the entity you are filing taxes for (referred to as “you” for simplicity)) initiate a foreclosure on a property, then you are required to either pay $384,777 as a tax to the Internal Revenue Service or you must enter into a debt contract with the IRS where you are required to pay $628 + (the amount of interest the U.S. government paid on bonds that year)/(the face value of all U.S. government bonds currently outstanding)*15697 each month for the next 50 years. This is known as a “tax on foreclosures”.

The money from the above 4 taxes does NOT go to the General Treasury, but instead goes to the National Medical Fund, which is chartered as a persistent trust by this Act. Out of the National Medical Fund, $5,000,000,000 is appropriated each year to pay the salaries of the Internal Revenue Service employees responsible for collecting the taxes to run the National Medical Fund.

A new tax exemption is created where a U.S. citizen who is not a “unique personal assistant” is allowed to employ exactly one U.S. citizen in one given year as a “unique personal assistant”, where the money received by that “unique personal assistant” is tax exempt, and their employer does not need to file any paperwork for that employee, other than to write the employment contract and collect video evidence that the unique personal assistant is actually present and working with their employer. 

Section 3: Medical Doctor Residency

Due to medical residency programs being bound to Medicaid in the past, a person who graduated with a degree from a medical school shall be considered to have  “completed residency” after working as an employee of 4 different doctors over 4 years (or more) and working (to actively aid in the recovery of the patient from a disease or injury) for at least 100 patients under each doctor.

Section 4: Administrator

There is established a new office called the National Medical Fund Administrator (referred to in this bill as “The Administrator”). The Administrator shall be appointed by the President solely as a man who is NOT a U.S. citizen and who worked for a foreign hospital as a heart surgeon “cardiologist” (performing surgery on the hearts of at least 2 poor people per year for those 5 years) for at least 5 years where that hospital was directly run by the government of that country. The Administrator cannot be removed from his position unless 50 U.S. Senators sign a petition saying, “The National Medical Fund Administator is now relieved of his duties as of the date this petition is read into the Congressional Record.”

The Administrator has the power to appoint his chosen employees to carry out the duties of his office who can pass the civil service exam and who have not had a bankruptcy in the previous 15 years and who have not been found to have driven a motor vehicle while under the influence of alcohol or marijuana, and have not been convicted of a felony.

The Administrator has the sole power to remove employees of the National Medical Fund and can do so without needing a clear justification, other than a signed affidavit from him saying, “I, __________, the National Medical Fund Administrator, swear under penalty of perjury that I am removing _______ from being my employee, and I testify that this removal has nothing to do with that person using Family or Medical Leave, and has nothing to do with that person taking an action protected under a whistleblower law, and has nothing to do with that person being the victim of harassment, and has nothing to do with that person being a victim of abuse, and has nothing to do with that person standing up to defend someone from harassment, and has nothing to do with that person standing up to defend someone from abuse.”

The duties of the Administrator are to spend the National Medical Fund as efficiently as possible to cover the excess medical expenses of Americans, conditional on (1) each medical expense in a given medical bill is itemized and signed by a doctor or nurse with their name and a unique medical ID number (only one such number can be given  to a human being) on the expense, and (2) the particular doctor or nurse giving that signature (and name and number, of course) is not on the list of “people of whom the National Medical Fund has reasonable suspicion of having charged excessive amounts of money”, and (3) the particular doctor or nurse giving that signature is not on the list of “people of whom the National Medical Fund has reasonable suspicion of having harmed patients (beyond an offense that can be described as ‘just having an unsuccessful treatment despite best efforts’)”.

The additional duty of the Administrator, through the employees he hires, is to collect evidence of doctors or nurses defrauding the National Medical Fund or harming patients, and, on the testimony of three employees of the National Medical Fund regarding the conduct of a particular doctor or nurse, shall put that doctor or nurse onto the relevant list (either “people of whom the National Medical Fund has reasonable suspicion of having charged excessive amounts of money” or “people of whom the National Medical Fund has reasonable suspicion of having harmed patients (beyond an offense that can be described as ‘just having an unsuccessful treatment despite best efforts’)”) corresponding to the offenses testified about.

The additional duty of the Administrator is to write reasonable price controls for (1) the cost of tuition for the classes necessary to apply for Medical School (such as college biology and biochemistry and chemistry and human anatomy and physiology and calculus-based Physics Mechanics and calculus-based Physics Electricity and Magnetism), (2) the cost of tuition per semester in every Medical School, (3) the overall cost of a Medical School degree for the average graduate (considering the costs of books and tuition and miscellaneous fees charged based on being part of a class at the Medical School; where “average graduate” in this case refers to a student who graduates with a degree from the medical school of whom a random sample of 12 current students at that school say “he graduated in a reasonable number of semesters”), (4) the cost of any medication that is more than double the manufacturing cost plus $50, (5) the cost of any medical implant if it is being sold for more than double the manufacturing cost plus $100, (6) the cost of any licensing fees which might be otherwise blamed as part of the “manufacturing cost” of a medication or medical implant.

The Administrator, through his employees, has a duty to collect evidence on anyone who is profiting beyond the reasonable price controls he has written, and shall employ new Prosecutors (from among lawyers who have worked for the U.S. Department of Justice in the past, or who formerly worked as prosecutors under a state Attorney General) for no more than $51*(the unadjusted CPI-U raw index for all items for that month) for each month worked. (For reference, the CPI-U for September 2025 is 324.8.) Those prosecutors shall use the evidence collected to bring criminal charges for the crime of “profiteering” against the corporation or others who charged more than the reasonable price controls established by the Administrator. Acceptable affirmative defenses against this charge include (1) that the Administrator didn’t make the new price controls sufficiently public (a matter that the randomly selected jury in the case alone has the duty to determine), or (2) that the price control in question is unreasonably low (which requires the defendant to present all the information to the jury regarding how the good or service is created, carefully itemizing their costs, where the jury has the responsibility to X-out things listed in those costs which seem unrelated to the actual provision of the good or service, or where the cost (like a licensing fee or CEO salary or administrative fees to a private equity company or stock buybacks or dividends) has the appearance of being a mechanism by which the price can be arbitrarily inflated, contrary to the purpose of the price control law). The penalty for the crime of “profiteering” shall include clawing back the CEO’s salary and the dividends and stock buybacks and fees to shareholders/private equity companies for the years in which the company was violating the price control law, with the money moved to the National Medical Fund with the exclusive designation of being used for paying for care for Americans.

Section 5: Prohibiting Corporate Ownership of Hospitals, Clinics and Doctor’s offices

As of December 31st of the year following the year in which this bill is passed into law, every hospital and doctor’s office and clinic must be sold via a public auction where only medical doctors are allowed to participate (every employee of the hospital or doctor’s office or clinic must be informed of the time of the auction 30 days beforehand, which shall occur on a Saturday after 5 pm at the main entrance of the building). The doctor who gives the winning bid shall be called the “CEO” and own the building in his or her own name and shall have the relevant administrative control of the operations in that building. The debts owed with respect to that building shall be retained by the former corporation selling the building, with the money from the bid being evenly distributed to the creditors of that hospital or clinic or doctor’s office (in the manner of a bankruptcy, where the new doctor CEO is immunized from the bankruptcy process for debts that doctor CEO didn’t personally authorize). The doctor CEO cannot sell that hospital or clinic or doctor’s office except to a medical doctor, and only if the value paid covers the remaining outstanding debt owed (as authorized by that doctor CEO personally) on that hospital or clinic or doctor’s office. In the case of a doctor CEO dying, the ownership of that hospital or clinic or doctor’s office shall be decided by another such auction 30 days later whereby medical doctors can make bids to become the CEO, where the winning bid shall be distributed equitably to the creditors of that hospital or clinic or doctor’s office, where the new doctor CEO is immunized from those past debts otherwise, where the creditors can only pursue the former doctor CEO’s personal estate for the remaining debt.