What Is The National Health Care Act?

In 2009, Democrat John Conyers of Michigan introduced theExpanded and Improved Medicare for All Act (H.R. 676) to the House of Representatives.  It was also known as the National Health Care Act which established a “single payer” format for a health care system in the US.


It is equivalent to the Bureau of National Health Insurance (Taiwan), Medicare (Canada), and the National Health Service (UK).  It is referred to as a single-payer system because the US Government is responsible for paying all Medicare expenses.

The goal of the National Health Care Act was to eliminate the need for private health insurance and paying for the premiums that these companies charge.  Additionally, the act would re-cast the role of private insurance companies where the provision of supplemental coverage was concerned.  This would be used for those individuals who were searching for some type of non-essential health and medical care.

Critical Elements Of The National Health Care Act

To briefly summarize, the National Health Care Act included a number of different elements.  However, the following were the more important provisions of the bill:


  • Medicare was expanded to cover US residents and those individuals residing in a US Territory so that health and medical care would be tax-funded by the US Government.
  • Only non-profit or public institutions could participate.
  • Patients are only allowed to choose from a list of participating institutions and physicians.
  • All private health insurance providers are prohibited from selling any type of coverage duplicating the Health Care Act’s coverage.
  • Payment methods will be established in order to pay for professional health and medical services.
  • The program will be financed by the USNHC Trust Fund while two sources of the funds deposited will result from increasing the top 5% wage earner’s personal income taxes and from existing government funding sources for health and medical care.
  • A program that assists individuals who have lost their jobs due to the single-payer system will be established.
  • A confidential, electronic data system for storing patient records will be created.
  • The National Board of Universal Quality and Access will be established in order to provide individuals with advice regarding access, affordability, and quality of the health and medical care that they are receiving.
  • The Indian Health Service will eventually be integrated into the program while the continued independence of VA (Department of Veteran’s Affairs) health programs will be evaluated.