Article: Igniting the American Dream: Revolutionizing Healthcare and Housing with Responsible AI
Igniting the American Dream: Revolutionizing Healthcare for All and Affordable Housing Policy with Responsible AI Integration
October 20, 2025 Revision.
By: Ken Mushet, MBA/TM (Technology Management). HumanCare๐ฉต.app
The American Dream may feel like itโs slipping away, but Congress passing Responsible AI-Empowered policies might just be the way to bring it roaring back. Warren Buffett has warned that soaring health care costs are โthe tapeworm of American economic competitivenessโ. Echoing this, Rep. Marjorie Taylor Greene recently declared on X: "Health Insurance is a scam and is failing everyone while the insurance companies make huge profits. They get paid directly from the government, on the front end, for every person....". From across the aisle, Sen. Bernie Sanders recently posted on X: "Our job is not to throw 15 million people off health care and double insurance premiums for more than 20 million. Our job is not to shutter community health centers, nursing homes and rural hospitals. Our job is to fix a broken system and guarantee health care to all."
The moment to fix our health care system in Congress is now, with HumanCare๐ฉต, in the Health Care Act, because America loves a comeback! Imagine a brighter future with HumanCare๐ฉต, where healthcare is accessible, doctors and patients feel connected, outcomes actually improve, and affordable housing lifts entire communities instead of crushing families. Right now, the reality is grim: ~81,000 overdose deaths, 27.1 million uninsured, and 21.7 million renters drowning under housing costs.
We can't afford more broken policies or decades of delay. By embracing these Responsible AI-Empowered initiatives, independent economic modeling (e.g., based on multipliers from similar infrastructure programs like the GI Bill) forecasts a transformative $6-10 trillion surge in growth over 10-15 years (though official government estimates are not available; see References for methodology), delivering accessible healthcare, affordable homes, and reigniting the American Dream for every family. I'm Ken, a proud American dad fighting for our shared future, and with Congress's bold leadership, we can make it happen - together!
Abstract
America is standing at a crossroads. Healthcare costs are crushing families, housing is slipping out of reach, and millions feel the American Dream has quietly left our country. But we are not out of options, we are out of imagination. HumanCare๐ฉต and the American Dream Lottery๐ are bold, Responsible AI powered proposals designed to break this gridlock and give working Americans a fair shot at health, home, and hope.
HumanCare๐ฉต introduces a $0 out-of-pocket healthcare model, our nation could capture up to $1.2 trillion in savings from reduced fraud, waste, and administrative costs, per CMS and OIG estimates. This aligns with bipartisan efforts like the No Surprises Act (2020) to eliminate surprise billing.
The American Dream Lottery๐ takes on the housing crisis with equal ambition, offering every 2023 taxpayer a federally appraised land lot or equivalent cash value, plus access to $0-down, low-interest construction loans up to $250K. This single act could ignite $4 trillion of construction, of up to 16 million homes and unleash $6 - 10 trillion in growth, 12 million jobs, and generational ownership.
I write these proposals not just as a strategist, but as a father who refuses to accept that the American Dream is gone for our children. These ideas are not left or right, they are American. They strengthen capitalism with fairness, empower citizens with ownership, and challenge Congress to build systems that match the courage of the people they serve. Because if we have the will to act, America has everything it needs to rise again, and this is how we save the American Dream.
Passing the Health Care Act and Housing Care Act, Consumer Net: Frees >40% of budgets, adding $100-200B annual Consumer spending power.
Overall: 1-3% annual CPI drop, stabilizing economy without inflationary risks.
Contact Your U.S. Senators and U.S. Representative
https://www.senate.gov/senators/senators-contact.htm
https://www.house.gov/representatives
Current State of the U.S. Health Care and Affordable Housing Crisis
Economic Strain on Consumers and GDP Impact
Consumers are strained as housing (32.9%) and healthcare (8%) expenses consume over 40% of their budgets, yet consumer spending still drives 68% of U.S. GDP. With household debt exceeding $18.39 trillion and credit card balances at $1.21 trillion, families are stretched thin. HumanCare๐ฉต saves families $1,667 per month on health insurance, freeing up funds for everyday spending that boosts the economy and enriches lives. Meanwhile, the American Dream Lottery๐ rewards hardworking taxpayers with a 3,500-square-foot plot of land they can cash out or build on with a 3% interest, no-down-payment loan, slashing rent costs, fostering community stability, and empowering Americans to confidently raise families.
Together, these initiatives could spark a $6-10 trillion economic surge over 10 years (equivalent to 19.7%-32.8% of the projected $29.5 trillion U.S. GDP in 2025 at launch). Modeled after the economic multipliers from the American Recovery and Reinvestment Act (2009), which generated 1.5-2x GDP returns.
Encouraging Congress to Choose: Saving the American Dream!
Congress can fix free-market Health Care for all & affordable housing with the Health Care Act and Housing Care Act, which boost the economy by $6 - 10 trillion, fostering real prosperity! These Responsible AI-driven solutions can give us transformative Health Care & Affordable Housing policy with HumanCare๐ฉต, in the Health Care Act and American Dream Lottery๐ , in the Housing Care Act. Here is what the Acts are about and how they will help millions more live their American Dream!
Page Number Subject
1..Introduction: Igniting the American Dream
1..Abstract
2..Current State of the U.S. Health Care and Affordable Housing Crisis
3..Economic Strain on Consumers and GDP Impact
3..Encouraging Congress to Choose: Saving the American Dream!
5..What Does the Health Care Act Do?
5..Designing the HHS App: Agentic, Human-Centered Experiences
7..AI Workflows: The Backbone of Seamless, Ethical Implementation
7..What Does the Housing Care Act Do?
8..Bold '70s Style Human-Centered AI Solutions and Grok Analysis
8..How It Works: Government, Private Sector, and Consumer Roles
9..Executive Summary of HumanCare๐ฉต and American Dream Lottery๐
9..10-Point Overview of the $6 - 10 Trillion Prosperity Plan
11..Responsible AI's Role in Revolutionizing HumanCare๐ฉต and American Dream Lottery๐
12..HumanCare๐ฉต Responsible AI-Empowered Benefits
13..American Dream Lottery๐ Responsible AI-Empowered Benefits
14..Key Performance Indicators (KPIs) for HumanCare๐ฉต and American Dream Lottery๐
14..HumanCare๐ฉต Operational, Outcome, and Responsibility KPIs
16..SHAP Explanation, Fraud Detection Chart Mockup
17..American Dream Lottery๐ Operational, Outcome, and Responsibility KPIs
18..Tools and Frameworks for Responsible AI Risk Assessments
20..Sustainability, AI Data Centers, Neighborhood Development Impact HumanCare๐ฉต
22..U.S. Healthcare Spending 2024, Pie Chart, Health Care Services vs. Administration
22.. Consumer CPI, Positive Impacts with Health Care Act and Housing Care Act
22..Video: HumanCare๐ฉต App, Book Ride, Care, Pay - Overview
23..HumanCare๐ฉต (The Health Care Act)
24..HumanCare๐ฉต Overview and Financial Impact
25..Health Impact of HumanCare๐ฉต
25..Federal, State, and Territory-Level Financial Impacts
27..Implementation Feasibility and Considerations/ Conclusion
28..HumanCare๐ฉต Questions and Answers
30..Where the Federal Money Comes From, to Pay for HumanCare๐ฉต
31..New Unhealthy Products and Cannabis Tax Revenue to Help Fund HumanCare๐ฉต
33..Why Taxing Junk Food and Encouraging Nutritious Food Matters
35..Current Health Budget & New Tax Revenue Totals to Fund HumanCare๐ฉต
37..What Care Would HumanCare๐ฉต Cover?
40..Video: American Dream Lottery๐
41..American Dream Lottery๐ (The Housing Care Act)
42..Economic Stimulus from the new Home Construction
43..Federal Land Availability and Valuation
44..Hero Village Option for Specific Professions, High Density Areas
46..Example Cities for Hero Village-Style High-Density Developments on Federal Land
50..Map of Hero Village Site Locations
50..Hero Village Land Swap Option for All Cities, States, and Territories
51..Future New Adult or New Citizen, American Dream Lottery๐ , 12 Year Cycle Option
51..Conclusion, American Dream Lottery๐
51..Legislative Proposal for Congress: Health Care Act and Housing Care Act
51..Overview and Congressional Consideration
52..The Health Care Act (Full Draft, with HumanCare๐ฉต)
56..Alternative Approach: Aligning H.R. 3069 with HumanCare๐ฉต, for Health Care Act
57..The Housing Care Act (Full Draft, with American Dream Lottery๐ )
61..References
65..Disclaimer
Video, HumanCare๐ฉต app: ๐ฑBook, ๐Ride, ๐ฉบCare, ๐ณPay.
What does the Health Care Act do?
1๏ธโฃ Define the junk: Congress would determine what 'junk food' is, vs. from nutritious food.
2๏ธโฃ Tax it for healthcare funding: A graduated tax up to 100% on junk food, unhealthy products, and cannabis, phased in over 3 years to allow industry adaptation, similar to sin taxes on tobacco. Revenue projections assume 50% compliance initially, per IRS data on excise taxes.
3๏ธโฃ โFreeโ health care for all: Those taxes and a FICA bump fund HumanCare๐ฉต, $0 healthcarefree-market, private-practice healthcare for every American.
HumanCare๐ฉต offers free, $0-cost healthcare via an AI-powered HHS app. Up to $140 billion in potential Fraud, Waste, and Abuse across Medicare and Medicaid, per CMS 2024 Improper Payment Report and OIG Semi-Annual Report to Congress. HumanCare๐ฉต's AI could integrate with CMS's existing Fraud Prevention System (FPS) for real-time anomaly detection. It reduces taxpayer anxiety by eliminating premiums, copays, and inefficiencies while maintaining a free-market system - patients choose doctors, with โSignature Doctorsโ charging above HHS negotiated rates (when disclosed in the app pricing). Doctors win with direct HHS billing and weekly pay.
Designing the HHS App: Agentic, Human-Centered Experiences
To ensure HumanCare๐ฉต delivers seamless, empathetic care, the HHS app will leverage agentic systems, proactive AI that senses, predicts, and acts on user needs, shifting from reactive automation ("if X, then Y") to adaptive experiences that anticipate human complexity.
Drawing on human-centered design (HCD) principles, the app prioritizes empathy before efficiency: shadowing real patient journeys to understand frustrations like confusing portals, ensuring accessibility with clear language and multimodal interfaces (voice, text, visual), and contextual adaptation for emotional and physical realities.
Digital-first imperatives include omni-channel orchestration (e.g., starting a booking in the app and continuing via SMS without repetition), a unified data fabric integrating clinical records, wearables, and patient reports for real-time nudges (like early fatigue alerts to prevent hospitalizations), and trust through transparency, explaining every action's "why" (e.g., "This ride suggestion is based on your recent labs and location").
Imagine a patient's wearable detecting early overdose risks, cross-referencing with history, and alerting the care team before crisis; or the app adjusting appointment slots for complex cases. This agentic approach, powered by Responsible AI, ensures providers and patients thrive in a free-market system.
With HumanCare๐ฉต, we could achieve:
โ Up to 30% fewer preventable hospitalizations
โ 20โ30% fewer overdose deaths
โ 2โ5 additional years of life expectancy for low-income groups
โ 200,000 fewer medical bankruptcies per year
To bring agentic, human-centered AI to life in the HHS app, HumanCare๐ฉต relies on robust AI workflows, structured pipelines that ensure data flows securely from input to output while upholding Responsible AI principles. These workflows transform raw user data (e.g., wearable metrics or appointment history) into proactive, personalized care, minimizing errors and maximizing trust.
Key AI workflow stages include:
By embedding these workflows, HumanCare๐ฉต not only cuts administrative waste by 25โ30% but also scales nationally without compromising safety, empowering doctors, rideshare partners, and families in a truly free-market ecosystem.
What does the Housing Care Act do?
1๏ธโฃ Land jackpot: Congress frees up 163 million federal land lots for housing, using Responsible AI.
2๏ธโฃ Land jackpot: Congress authorizes the release of up to 163 million federal land lots for housing, subject to environmental reviews under NEPA and consultations with tribal nations. This builds on the Federal Land Policy and Management Act (1976) for sustainable use.
3๏ธโฃ Pick your prize: Take the landโs appraised value, pass it to your kids, or build an affordable home with a $0-down, 3% HUD loan, up to $250,000.
The American Dream Lottery๐ turns unused, untaxed federal land into 16 million affordable homes, fueling $6-10 trillion in economic activity. Critics can call it what they want, but it's economic growth, healthier lives, and a real shot at prosperity for all taxpayers. Letโs save the American Dream!
My bold '70s style human centered AI-Empowered solutions use my ideas, AI, & the latest technology to address our U.S. health care and affordable housing challenges. Grok 3, X AI reviewed these plans and dubbed my plans 'Capitalism with a boost.' Here is the Grok analysis quote from the in-depth review below:
"Final Call: This isnโt communist-itโs too profit-friendly and property-focused. It encourages free market capitalism by unleashing opportunities (land, healthcare access) and incentivizing private action (building, premium services), but itโs not pure capitalism-governmentโs a big player, not a bystander. Call it โcapitalism with a boostโ: a market-driven vision with a hefty public kickstart. Kenโs right to claim the capitalist label, but the scale of state involvement nods to bipartisan pragmatism-neither red nor blue, just American Dream green." Grok 3/15/25
Capitalism with a boost ๐, government kickstarts, private sector builds, and AI keeps it fair, fast, and efficient.
โ๏ธ How It Works
Responsible AI, the "How" of implementation, encompasses ethical principles, practices, and frameworks for accountable, transparent, fair, and safe AI development and deployment. Organizations like AWS, Google, IBM, and Microsoft could partner on the HHS app's backend for SOC 2 compliance and low-latency edge AI. Key investment risks include data privacy breaches (mitigated by GDPR-inspired standards) and adoption rates (projected at 70% within 2 years via incentives).
As a catalyst, Responsible AI enables government, private sector, and consumers to drive economic prosperity with equitable healthcare and housing access. Without congressional action, rising Gini coefficients (U.S. Census Bureau) could deepen divides and erode the middle class. Yet, bipartisan support and state pilots could foster inclusive growth, reclaiming America's vitality.
Some may hesitate to adopt this tech due to religious, personal, or accessibility reasons; alternatives, including caregiver support and non-digital options, ensure equitable access. HumanCare participation is voluntary, those with concierge services need not enroll, empowering millions facing barriers to affordable, free-market healthcare.
โค Government sets Responsible AI Tools, Frameworks, Risk Assessments and KPIs for the HHS HumanCare๐ฉต app, to book care, get rides, and pay doctors. Government and Responsible AI also determine the 163 million lots to give all 2023 taxpayers, then issues them through the American Dream Lottery๐ , and HUD provides low interest loans to those that want to build homes on their lots.
โค Private sector delivers free-market, quality health care and builds quality affordable homes.
โค Consumers/taxpayers pay less and get more.
Executive Summary of the Transformative HumanCare๐ฉต and the American Dream Lottery๐ Plans
โ๏ธ HumanCare๐ฉต and the American Dream Lottery๐ are transformative initiatives designed to revolutionize healthcare and housing in America.
โ๏ธ HumanCare๐ฉต provides free, comprehensive healthcare to all U.S. citizens, covering everything from prenatal care, preventive care and emergency care, to end-of-life services with no premiums, copays, or deductibles.
โ๏ธ Itโs funded through existing HHS budgets, increased FICA Medicare contributions (still costs much less), and new taxes, aiming to generate a surplus while cutting administrative waste and fraud.
โ๏ธ Meanwhile, the American Dream Lottery๐ grants every 2023 U.S. taxpayer a federal land lot or its cash equivalent, paired with no down payment, low-interest loans for home construction for those that want to build.
โ๏ธ Together, these programs stimulate economic growth, promote sustainability, create jobs, and address healthcare and housing inequities, fostering long-term prosperity.
'The American Dream is a myth.' Joseph Stiglitz (Nobel Prize-winning economist)
โ Partnerships and Policies:Private sector tech innovation (HHS app) and community-focused reforms (lottery, loans) complement government action, all guided by carefully designed, sustainable policies.
โ Expanding Access: HumanCare๐ฉตand free prescriptions ensure healthcare for all, while the American Dream Lottery๐ and $0 down, low interest loans make housing attainable.
โ Controlling Costs:The healthcare surplus and low-interest loans tackle rising costs in both sectors.
โ Increasing Supply:The HumanCare๐ฉต AI-powered HHS app boosts healthcare efficiency, and federal land distribution expands housing availability.
โ Addressing Inequities: Universal coverage and equitable land grants prioritize underserved populations.
โ Mutual Reinforcement:Stable homes improve health outcomes, and good health supports economic stability for housing.
'The U.S. health care system is by far the most expensive in the world, yet it fails to deliver better health outcomes.' Paul Krugman (Nobel Prize-winning economist)
10 Point Overview of the $6 - 10 Trillion Transformative Prosperity Plan for the United States, HumanCare๐ฉต and American Dream Lottery๐
1๏ธโฃ Massive Job Creation
Creates 12.1 million jobs across construction, healthcare, and related sectors (2.97 jobs per $1 million in spending), offsetting administrative job losses and reinforcing the link between stable employment, housing stability, and better health through robust economic activity. Some job retraining would be necessary, such as healthcare administration training to provide direct care to patients.
2๏ธโฃ Immediate Tax Revenue
Generates $407.5 billion in immediate tax revenue from housing-related activity (e.g., 10% combined sales, property, and income taxes on $4.075 trillion), providing a sustainable funding stream to reinvest in healthcare and housing initiatives while boosting federal and state economies.
3๏ธโฃ Economic and Health Benefits
Injects $6 - 10 trillion into the economy, stabilizes future U.S. debt with healthcare surpluses, and improves health outcomes (e.g., Potentially: 30% fewer preventable hospitalizations, 20-30% fewer overdose deaths, and 2-5 years added life expectancy for low-income groups). Plus eliminate the 200K medical bankruptcies per year.
4๏ธโฃ HHS App, Responsible AI Innovation
Increases healthcare supply with an Uber-like HumanCare๐ฉต HHS Responsible AI app for booking appointments, doctors & medical providers direct billing to HHS, and managing free prescriptions - cutting administrative overhead while partnering with private tech innovators to enhance efficiency and deliver seamless care so that patients and providers thrive. Free healthcare at your fingertips!
5๏ธโฃ Free Prescriptions and Medical Provider Support
Expands access to all medications at no cost under HumanCare๐ฉต and supports providers by enabling physicians and care professionals to operate small businesses with simple, direct HHS app billing - fostering doctor-patient relationships and equitable healthcare, efficiently delivered.
6๏ธโฃ $1.2 Trillion Healthcare Surplus
HumanCare๐ฉต generates a $1.2 trillion surplus by cutting administrative waste, funded by budgets, increased contributions, and taxes, to lower healthcare premiums for families.
7๏ธโฃ $0 Free-Market Healthcare via Responsible AI-Empowered HumanCare๐ฉต
Expands access by introducing HumanCare๐ฉต, a comprehensive healthcare system with no premiums, copays, or deductibles for all U.S. citizens, covering preventive care, emergencies, mental health, prescriptions, dental, and end-of-life care, eliminating the 127.1 - 32 million uninsured (8% - 10% of population) and addressing inequities in underserved communities.
8๏ธโฃ American Dream Lottery๐ Increases housing supply by granting every 2023 U.S. taxpayer (approximately 163 million) a federal land lot (or its cash value), using Responsible AI to identify and select vacant federal land to build on (e.g., BLMโs 244M acres), as well as the opportunity for a no down payment, low interest Construction loan, addressing inequities by offering all citizens a fair shot at homeownership.
9๏ธโฃ $0 Down, Low Interest, Construction Loans Controls housing costs with $0 down, 3% interest HUD loans up to $250,000 for land lottery taxpayer winners, sparking $4.075 trillion in construction spending, if 1 in 10 builds, demonstrating mutual reinforcement as affordable homes improve health outcomes and stimulate economic growth. (Or the Appraised Value of their Rural-to-Suburban 3,500 sq. ft. Lot, which may be approximately $5K - $140K per Lot)
๐ Global Confidence and Prosperity Restores faith in U.S. governance through innovative, government-led Responsible AI solutions paired with private and community partnerships & driving long-term prosperity with increased consumer spending and housing stability.
Responsible AI integration propels HumanCare๐ฉต, an AI-powered HHS app providing free, universal healthcare, and the American Dream Lottery๐ , distributing federal land for affordable housing. To demonstrate the feasibility and credibility of these AI-driven solutions, HumanCare๐ฉต was entered into the CMS Fraud-Crushing Competition, a market-based research challenge, seeking explainable AI for Medicare fraud detection, as a Phase 1 proposal, leveraging Python-based tools for advanced fraud detection and an Rideshare-style app for seamless service delivery.
HumanCare๐ฉต proposes a robust, explainable AI framework tested on synthetic data (achieving F1-scores >0.85, aligned with benchmarks for healthcare fraud models) and designed for real-world CMS integration, ensuring scalability while maintaining transparency, human oversight, and compliance with standards like HIPAA for data privacy. Here's how AI technology enables these initiatives to make life more human, drawing on best practices such as real-time anomaly detection and interpretable ML to prevent fraud while minimizing biases, without revealing proprietary implementation details.

HumanCare๐ฉต, Responsible AI-Empowered Benefits:
American Dream Lottery๐ , Responsible AI Empowered Benefits:
Overall, Responsible AI drives $1.2T surpluses, boosts GDP by trillions, and restores the American Dream through efficiency, fairness, and innovation, representing capitalism with a tech boost. The CMS proposal's focus on explainable AI, human oversight, and phased implementation (from synthetic testing to real LDS data application) underscores the technical viability, positioning these solutions for seamless adoption while addressing potential risks like model drift through ongoing monitoring. A sample Python initialization (non-proprietary) might look like:
python
import xgboost as xgb
# Initialize a simple XGBoost classifier (non-proprietary example)
model = xgb.XGBClassifier(use_label_encoder=False, eval_metric='logloss')
# Train on example data
model.fit(X_train, y_train) # Placeholder for training data
This underscores technical readiness while inviting collaboration.
Key Performance Indicators (KPIs) for HumanCare๐ฉต and American Dream Lottery๐ Plans
These KPIs are aligned with broader mission goals such as equity (ensuring fair access for all citizens), efficiency (reducing waste and costs), transparency (clear reporting and explainability), and improved service delivery (enhancing health and housing outcomes). They incorporate Responsible AI-specific elements like the HHS app for HumanCare๐ฉต (e.g., fraud detection, appointment booking) and Responsible AI tools for the Lottery (e.g., land appraisal, fair distribution).
HumanCare๐ฉต KPIs (Health Care Act: AI-Powered Universal Healthcare via HHS App)
Operational KPIs
Outcome KPIs
Responsibility KPIs
American Dream Lottery๐ KPIs (Housing Care Act: AI-Powered Land Distribution and Housing)
Operational KPIs
Outcome KPIs
Responsibility KPIs
These KPIs provide a balanced framework for tracking progress. Starting with pilots (e.g., in select states) to refine benchmarks, and use tools like the NIST AI Risk Management Framework for ongoing governance.
Tools and Frameworks for Responsible AI Risk Assessments
Here are tools and frameworks for Responsible AI impact assessments and risk management, with descriptions of the tools framework's purpose and functionality. These can be used for the government AI impact assessment of HumanCare๐ฉต and American Dream Lottery๐ .

Tools
Frameworks
Sustainability, AI Data Centers and Neighborhood Development Impact of HumanCare๐ฉต
At its core, HumanCare๐ฉต is about building smarter, fairer systems for healthcare and housing without passing todayโs problems onto tomorrowโs generations. We believe innovation should lift people up and protect the planet at the same time. That means putting sustainability front and center, whether weโre running AI in data centers for the HHS app or breaking ground on new neighborhoods through the American Dream Lottery๐ .
AI is powerful, but itโs also power-hungry. Data centers can be environmental drains if we donโt rethink how theyโre built and operated. The same goes for housing, 16 million new affordable homes could unlock opportunity, but if we use outdated, resource-intensive methods, we risk repeating the mistakes of the past.
โThe potential of artificial intelligence (AI) to transform our world is profound, but it also presents critical challenges. As AI scales, so has its environmental footprint, with potential impacts on energy, water, and other natural resources. We simply cannot afford to build our digital future on the infrastructure of the past.โ
- Sunya Norman, Senior Vice President, Impact, Salesforce
Smarter Data Centers for AI-Powered Care
The HHS app, powered by AI to detect fraud and personalize care, needs a strong digital backbone. But instead of defaulting to wasteful infrastructure, we can:
This is good for the planet and itโs smart economics. These practices help ensure the app can deliver a projected $1.2T surplus without saddling us with environmental trade-offs.
Greener Homes, Stronger Communities
The American Dream Lottery๐ could spark the construction of 16 million homes, a scale we havenโt seen in generations. Thatโs a once-in-a-lifetime chance to get neighborhood design right. Imagine:
The upside is massive: healthier families, stronger local economies, and GDP boosting growth that could exceed $10 trillion, all while reducing our environmental footprint.
The Four Lenses of Sustainability
When evaluating these reforms, we see impact across four categories:
A Call to Action for Congress
This is practical policy for a stronger America. Congress has the power to:
If we align policy with innovation, HumanCare๐ฉต can help us build a future where healthcare and housing reform not only close equity gaps but also strengthen our economy and protect our planet.
The choice is clear: we can continue building on yesterdayโs infrastructure or Congress can lead us toward a sustainable future where every community thrives.

Consumer CPI, Positive Impacts with Health Care Act and Housing Care Act
The potential Congress Health Care Act (HumanCare๐ฉต) and Housing Care Act (American Dream Lottery๐ ) could transform the U.S. economy by addressing healthcare and housing crises via Responsible AI, slashing CPI by 1-3% annually.
Healthcare (8.273% weight): Saves families ~$20K/year, ends 200K medical bankruptcies, reduces uninsured from 27.1M to 0, cuts overdoses by 20-30%, adds 2-5 years life expectancy for low-income. Funded by $6.24T ($3.3T existing budgets + FICA hike + taxes), yielding $1.24T surplus. Lowers medical index by 3-5%, CPI by 0.2-0.5%.
Housing (44.201% weight): Grants 163M taxpayers federal land lots ($5K-$140K value) + $0-down 3% HUD loans up to $250K; if 10% build, adds 16.3M homes, creates 12M jobs, $6-10T stimulus. Reduces rents/OER by 5-10%, CPI by 1-2%. Overall, frees >40% of budgets, boosts $100-200B annual spending, enhances prosperity without inflation.
HumanCare๐ฉต (The ๐บ๐ธ Health Care Act)
"Of all the forms of inequality, injustice in health care is the most shocking and inhumane." Martin Luther King, Jr. (1966)
"Healthcare must be recognized as a right, not a privilege." Bernie Sanders (Senator Sanders of Vermont, Ranking Member - Senate Committee on Health)
"The way to improve healthcare is to make it more like other goods and services, with competition and consumer choice." Milton Friedman (Nobel Prize-winning economist and free-market advocate)
"Mitigating the physician shortage is critical to improving access to care for all Americans." Bill Cassidy (Senator for Louisiana, He treated uninsured patients as a doctor in Louisianaโs charity hospital system.)
HumanCare๐ฉต can addresses
โ๏ธ Systemic Failures: Chronic diseases, Fentanyl & Opioid overdose deaths, and poor health outcomes persist in the US, despite top health expertise.
โ๏ธ Job-Tied Coverage: Insurance linked to employment leaves jobless and entrepreneurs exposed.
โ๏ธ High, Hidden Costs: Unregulated prices and surprise bills fuel a medical debt crisis.
โ๏ธ Unequal Access: Income & rural gaps widen health disparities, and criminal convictions for Cannabis cause financial strains for families further limiting access.
โ๏ธ Mental Health & ER Strain: Underfunded care and shortages overburden emergency services and prisons serve as mental care and drug rehab.
HumanCare๐ฉต could revolutionize U.S. healthcare, offering universal access and significant savings. Success depends on swift implementation, public buy-in, and managing economic impacts.
"Under the America First Healthcare Plan, we will ensure the highest standard of care anywhere in the world, cutting-edge treatments, state-of-the-art medicine, groundbreaking cures, and true health security for you and your loved ones." President Donald J. Trump, September 24, 2020
Overview
HumanCare๐ฉต Leadership: Robert F. Kennedy, Jr., Secretary of the U.S. Department of Health and Human Services (HHS)
Coverage: All U.S. citizens with a unique Social Security number (~320 million in 2025)
Implementation: September 2025 via Executive Order and funding by Congress.
Objective: Universal, comprehensive healthcare with no premiums, funded through taxes and budget reallocation
Total Financial Impact ๐ฐ
Current U.S. Healthcare Spending (2023): $4.9 trillion (public and private)
Proposed HumanCare๐ฉตFunding (2025): $6.24 trillion annually (I made it extra so cuts could be made or unanticipated additional usage are possible.)
FICA Medicare Contribution Increase: $1.3 trillion (rate raised to 4.35% each for employees and employers)
Existing HHS and CMS Budgets: $3.3 trillion (discretionary and mandatory)
Veterans Care: $111 billion
Public Assistance: $862 billion
New Tax Revenues ๐งพ
(It can't be free, Consumers/taxpayers ultimately pay the price for everything, and the money has to come from somewhere, so here is where I think it can and should come from.)
Total Projected Cost: $5 trillion annually
Surplus: $1.24 trillion
(Potentially lower, could be used for infrastructure, job retraining, research, or debt reduction)
Health Impact โ๏ธ
Improved Access: Eliminates financial barriers, reducing uninsured from 10% to 0%
Chronic Disease Management: Potential 30% reduction in preventable hospitalizations (e.g., diabetes). "In the U.S., ultra-processed foods contribute to 58% of total energy intake and are associated with a 31% increased risk of cardiovascular disease incidence among adults." Juul, F, Vaidean, G, Lin, Y. et al. Ultra-Processed Foods and Incident Cardiovascular Disease in the Framingham Offspring Study. JACC. 2021 Mar, 77 (12) 1520โ1531.
Mental Health and Addiction: Potential 20โ30% drop in overdose deaths (81,000 annually in 2024)
Public Health: Potential 15% reduction in flu hospitalizations with universal vaccination
Equity: Potential life expectancy for low-income groups increases by 2โ5 years
Challenges: Potential provider shortages and increased wait times (Independent doctors with innovation and efficient billing could transform healthcare.)
Federal, State, and Territory Level
Financial Impact ๐๏ธ
Financial Impact
Current Budget: $3.4463 trillion (HHS, CMS, HRSA)
HumanCare๐ฉต Allocation: $3.033 trillion (after FICA and tax revenues)
Savings: $413 billion from consolidation and efficiencies
Surplus: $1.24 trillion
Health Impact
Standardized care quality potentially reduces regional disparities
Immediate coverage for 27.1 - 32 million uninsured (8% - 10% of population)
Jobs Eliminated
Current HHS Workforce: ~87,000
Reduction: 30โ50% administrative roles cut (26,100โ43,500 jobs) (This is a huge additional savings that would offset more costs in my opinion. Congress can make their own decision and reduce the $1.2 Trillion surplus if they want to.)
State-Level Impact
Methodology
Spending distributed by population and cost variation
Savings from eliminating Medicaid admin costs and premiums
Jobs cut: 20โ40% of state health agency staff
Sample Breakdown:
California (Pop: 39M, 11.3%) ๐๏ธ
Texas (Pop: 30M, 8.7%) โ
Florida (Pop: 22M, 6.4%) ๐ด
Total State Jobs Eliminated: 200,000โ400,000
Aggregate Savings: $1.2โ$1.5 trillion
Territory-Level Impact
Methodology
Scaled to $5T, higher costs due to remoteness
Jobs cut: 20โ40%
Breakdown:
Puerto Rico (Pop: 3.2M, 0.93%) ๐ต๐ท
Guam (Pop: 170K, 0.05%) ๐ฌ๐บ
U.S. Virgin Islands (Pop: 87K, 0.03%) ๐ป๐ฎ
Aggregate Savings: $12โ$15 billion
Implementation Feasibility
Legal Change: Amend Title XVIII of the Social Security Act (1965) via Executive Order and Congressional approval
Funding: New taxes and FICA increase need legislation; resistance from industries and taxpayers possible
Timeline: June 2025 feasible with emergency powers and bipartisan Congress support
Critical Considerations
Economic Disruption: 227,600 - 446,500 job losses require retraining programs
Tax Burden: Any household FICA increase may strain low-income families
Provider Capacity: 320 million covered citizens could overwhelm infrastructure
Conclusion
HumanCare๐ฉต could transform U.S. healthcare, offering access to all and significant savings. Success depends on swift implementation, public buy-in, and managing economic impacts. Some job retraining would be necessary, such as healthcare administration training to provide direct care to patients.
HumanCare๐ฉต Questions and Answersโ
Should a 2025 Executive Order be issued for HumanCare๐ฉต?
Yes, with Mr. Robert F. Kennedy, Jr., the Secretary of the U.S. Department of Health and Human Services, health advocates, and special guests in attendance.
Who would lead HumanCare๐ฉต?
The Secretary of the U.S. Department of Health and Human Services, Robert F. Kennedy, Jr.
Who does HumanCare๐ฉต cover?
All United States Citizens with their Social Security number.
Can I still get health services or products that are not covered under HumanCare๐ฉต?
Yes, you are free to spend your money on what you like, as long as it is legal.
Are health care premiums and coverage a concern for United States citizens?
Absolutely, they impact financial stability, care access, and health outcomes. The complex mix of private and public insurance fuels debates on affordability and equity, making it a critical issue in public discourse and policy. HumanCare๐ฉตoffer free access through U.S. free market efficiency and innovation.
What is the current budget of all the Federal Agencies listed under the umbrella of HumanCare๐ฉต?
The total specified budget figures for FY 2025: HHS Discretionary: $130.7 billion HHS Mandatory: $1.7 trillion
CMS (which includes Medicaid and likely parts of CHIP and Health Insurance Marketplace): $1.6 trillion
HRSA: $16.3 billion
Summing these:
How much is currently spent on Health Care in the United States?
According to Grok, based on the available data, the total healthcare spending in the United States for 2023 was reported to be $4.9 trillion.
This figure includes spending from both public and private sources, covering health care such as hospital care, physician services, prescription drugs, and other health services, which encompasses all health-related spending across the nation.
CMS National Health Expenditure Data (2023), Table 05:
โข Net Cost of Health Insurance (private overhead): $302.9B
โข Government Admin (Medicare, Medicaid, VA, etc.): $57.4B
How much money is received from the FICA Medicare in paychecks?
The current FICA Medicare contribution rate is 1.45% for both the employee and the employer. This means that for each paycheck, both the employee and their employer contribute 1.45% of the employee's earnings towards Medicare.
Additionally, there is an Additional Medicare Tax of 0.9% for individuals earning above certain thresholds, but this is only withheld from the employee's wages and not matched by the employer:
Medicare contributions are roughly one-third of the total FICA contributions (since Medicare's rate is about one-third of the combined Social Security and Medicare rate when considering just base rates), we could approximate:
$1.3 trillion (total payroll tax) * 1/3 โ $433.33 billion for Medicare from FICA.
How are we going to pay for this?
Hard working US Citizens have been working too hard for too long and have been charged too much for Health Care. The United States is broke, but we need to figure this out now because it is critical for every US Citizen to be able to pursue the American Dream and not be crushed by Health Care premiums, an injury or illness.
By cutting fraud, waste, abuse, and administrative overcharges, along with operational efficiencies, US Government Health Department related consolidation, this will happen quickly.
Here is where the Federal funding budget money comes from, to pay for HumanCare๐ฉต:
$1.3 Trillion FICA Medicare Contribution Rate
The FICA tax rate would go from 1.45% for employees and 1.45% from their employer to 4.35% for employees and 4.35% from their employers. This is still a great deal for employees. (Based on IRS 2023 payroll data)
The average (mean) household income was approximately $114,500 in 2023. Their FICA Medicare contribution would go from approximately $1,660 to $4,981, an increase of $3,321.
That household could eliminate their current annual health care premium of ~$24,000 for family coverage and ~$8,400 for individual coverage. A massive savings for individuals and families and offers portability and coverage.
Some employers currently pay part, half, or all of their employeesโ Health Care premium. They would save money with this approach and they could pay the employees portion of 4.35% to attract employees.
$3.3 trillion Health and Human Services
This amount is already budgeted.
$1.7 trillion HHS Mandatory Spending.
This amount is already budgeted.
Total Implications
This combined $3.3 trillion represents an enormous portion of federal spending, highlighting the scale of government involvement in healthcare, social services, and public health in the United States. It reflects the complexity and cost of providing health insurance, medical care, research, and social support to millions of Americans.
This total would cover:
This figure underscores the federal government's role in ensuring access to healthcare and supporting social welfare, with significant implications for the national budget, policy priorities, and the overall health and well-being of the population.
$111 billion Veterans Care:
Federal spending already in the budget.
$862 Billion, Public Assistance:
Public welfare expenditures, which include health-related benefits, amounted to $862 billion in 2021, highlighting the scale of government involvement in health care support. Already in the budget.
New Unhealthy Products and Cannabis Tax Revenue to help fund HumanCare๐ฉต
$56 Billion, Cigarettes: ๐ฌ
$31 Billion Alcohol: ๐ท๐บ
In 2022, federal excise tax revenue from alcoholic beverages was about $10.2 billion. Triple the tax on alcohol to increase revenue to help pay for the health effects of alcohol use. According to the Centers for Disease Control and Prevention excessive alcohol use resulted in approximately $27 billion in health care costs in the United States, back in 2010. That same year, the federal government collected about $9.5 billion in alcohol excise taxes, according to the Alcohol and Tobacco Tax and Trade Bureau.
$9 Billion E-Cigarettes: ๐ช๐ฌ
E-Cigarettes market in the United States is projected to have a market volume of $9.4 billion in 2025. Newer legislation has begun taxing e-cigarettes, aiming to offset the public health costs of nicotine use. A 100% federal excise tax will be imposed on all E-Cigarettes and vaping related products.
According to a study published in Tobacco Control and hosted the National Library of Medicine (part of the National Institutes of Health), current e-cigarette uses among U.S. adults resulted in approximately $15.1 billion in excess health expenditures in 2018.
That same year the federal government collected $0 in excise taxes on e-cigarettes, as those products were not subject to federal excise taxes under the Internal Revenue Code, according to the Government Accountability Office.
$521 Billion Junk Food: ๐ฉ
Implementation of a junk food tax would require clear nutritional standards for what junk food is.
Prominent doctors, including Dr. Robert Lustig, Dr. Mark Hyman, and Dr. David Ludwig, warn that sugar in soft drinks, as harmful as alcohol and tobacco, drives obesity and diabetes. The US spends $327 billion yearly on diabetes projected to hit $500 billion by 2025, with obesity, heart disease, and cancer adding billions more. This highlights the dire health and economic toll of Americaโs soft drink habit.
Whatโs Junk Food?
"Junk food" might include items high in added sugars, sodium, or unhealthy fats-like soda, or salty artificial chips, while "nutritious food" could mean whole, minimally processed options like vegetables, fruits, or lean proteins.
โWe spend $405 million a day on food stamps. Thatโs what the taxpayer is spending. 10% is going to sugary drinks. Another 8% is going to candies. So, we are poisoning 60% of our kids who are getting food stamps.โ Secretary of HHS, Robert F. Kennedy Jr. (That is over $26 billion sent on EBT Food Stamps on just sugary drinks and candy.)
Potential Benefit: It could guide citizenstoward healthier choices and provide a legal basis for the tax.
Challenge: Science health-based decisions.
Why Taxing Junk Food and Encouraging Nutritious Food Matters
โ๏ธ Health Gains: Less junk food could shrink diet-related diseases.
โ๏ธ Industry Push: Manufacturers might ditch harmful additives or recipes.
โ๏ธ Funds: Tax revenue could bankroll wellness initiatives.
โ๏ธ Challenges: Low-income families need affordable healthy options.
The Bottom Line
A 100% tax on junk food and adding non-E number additives to determine the junk food definition could slash harmful eating, improve food safety, and finance health equity. Inspired by the EUโs E number system, this plan demands clear rules and accessible alternatives to transform public health and wallets alike.
The EUโs E Number Edge
The European Unionโs E number system labels safe, tested food additives (e.g., E100 for colors, E202 for preservatives). Overseen by the European Food Safety Authority, it ensures transparency and quality unlike the U.S. FDAโs less stringent approach, offering a model for healthier food standards.
Two Bold Tax Ideas
100% Junk Food Tax: Doubling prices could cut consumption and raise billions from a potential $521 billion market to fund health programs like nutrition education.
Nutritional Standards
Added Sugars: >10% of calories FDA guidelines (50g/2,000 calories).
Saturated Fat: >20% of daily value (>4g/serving, based on 20g/day) FDA standards.
Sodium: >600 mg/serving (26% of 2,300 mg daily value) FDA/WHO.
Potentially creating an E Number system, where food that contains ingredients that are not on the approved food safe list are considered junk food and taxed 100%.
Market Size
Snack Foods: Statista projects $60.57 billion by 2029.
Fast Food: Valued at $331.41 billion in 2022, exceeding $300 billion by 2025 is plausible per Statista trends.
Confectionery & Beverages: Confectionery hit $129.14 billion in 2023; with sugary drinks, $50โ$100 billion is conservative but feasible.
Total: Combining realistic figures (~$60 billion snacks, $300+ billion fast food, $100+ billion confectionery/drinks), the junk food market nears $400โ$450 billion by 2025, but $521 billion is used guessing the potential expansion of what may be defined as junk food using E Numbers.
Total Junk Food Estimate: Approximately $521 billion
$50 Billion Cannabis ๐
Recreational Cannabis ๐
Medical Cannabis ๐๐ฉบ
Current Health Budget & New Tax Revenue Totals to Fund HumanCare๐ฉต
$6.24 Trillion Total Funds annually to fund Health Care costs of approximately $5 Trillion.
How could this change be made quickly under the existing structure?
Expand the definition of who is eligible for Medicare to all living United States Citizens that have a unique Social Security number and expand the definition of Federally Qualified Health Centers (FQHCs) to include existing independent Health Care Providers or Health Care Medical Groups that would like to participate in HumanCare๐ฉต.
What is the Responsible AI-Empowered HumanCare๐ฉต HHS app?
What could happen to all the unnecessary executives and administrate staff that will be displaced by these cost cutting measures to better serve United States citizens?
We hope they are able to better serve the public in activities that provide goods and services that directly help US Citizens. With the business growth of free-market private practice health care providers, we believe that will create job opportunities providing care. If Congress felt strongly, they could determine how much of the $1.2 Trillion surplus they would want to allocate toward keeping executive and administrative staff, and hopefully put them in roles that are a value add for taxpayers.
What is the Timeframe for implementation?
October 2025, with an Executive Order and approval of the Health Care Act from Congress.
What is the law that could be changed to allows for this change?
Since its inception, Medicare has been expanded and modified through various subsequent laws, including:
These laws have collectively shaped Medicare into a more comprehensive program over time, adapting to changes in healthcare needs and policy.
What Care Would HumanCare๐ฉต Cover?
HumanCare๐ฉต provides comprehensive, accessible, and affordable coverage to all United States citizens, ensuring that health services are equitable, high-quality, and inclusive of every communityโs needs.
Key Components of HumanCare๐ฉต
Preventive Care
Primary Care
Emergency Services
Hospitalization
Mental Health Services
Specialty Care
Prescription Drugs
Maternal and Child Health
Dental & Vision Care
Rehabilitative & Habilitative Services
Chronic Disease Management
End-of-Life Care
No Discrimination
Affordability
Transparency & Portability
Research & Innovation
Public Health Initiatives
Substance Use Disorder Treatment & Recovery
"We need to empower families to achieve the American dream of homeownership by removing barriers and creating opportunities." Tim Scott (Senator from South Carolina)
"The problem with housing is that it is a market where the government has intervened so much that it has created a shortage." Thomas Sowell (Economist and social theorist, critical of government intervention)
"Americans are suffering under the weight of sky-high housing prices..." Elizabeth Warren (Senator from Massachusetts)
"The most important thing that cities can do is to make sure that they donโt have regulations that prevent the construction of new housing." Edward Glaeser (Urban economist and professor at Harvard University, known for his work on housing markets)
Yes, with Mr. Scott Turner, the Secretary U.S. Department of Housing and Urban Development, affordable housing advocates, housing, homeless advocates, and other parties in attendance.
The Secretary of the U.S. Department of Housing and Urban Development, Scott Turner.
All United States Citizens that have a unique Social Security number, and filed a United States Tax Return as Head of Household or an Individual, by December 31, 2024, for the 2023 Tax year.
Individual IRS Income Tax Returns 2023: 153.8 million for Tax Year 2022 (filed in 2023). Estimates for Tax Year 2023 (filed in 2024) suggest 162โ163 million taxpayers reflecting slight growth.
"We have people living in ourโฆ best highways, our best streets, our best entrances to buildingsโฆ where people in those buildings pay tremendous taxes, where they went to those locations because of the prestige."
- President Donald Trump, speaking to reporters aboard Air Force One on September 17, 2019, during a trip to California.
If one out of ten winners build a $250,000 home, how much does that stimulate the economy? Itโs game-changing! Hereโs the calculation for the economic stimulus if one out of ten of 163 million people builds a $250,000 home:
Step 1: Number of Homes Total people: 163,000,000. One out of ten: 163,000,000 รท 10 = 16,300,000 people building homes.
Step 2: Direct Construction Cost Each home costs $250,000. Total direct spending: 16,300,000 ร 250,000 = $4.075 trillion.
Step 3: Economic Multiplier Effect The construction industry has a multiplier effect of 1.5โ2.5, reflecting jobs, materials, and secondary spending (per National Association of Home Builders and economic studies):
Step 4: Additional Impacts
Step 5: Reality Check
Final Estimate Direct cost: $4.075 trillion, stimulating $6.11โ$10.19 trillion in total activity (mid-range: $8.15 trillion). This assumes a 2.0 multiplier and gradual rollout-a transformative national housing surge supporting jobs, taxes, and growth.
Federal Land Availability and Valuation
Rough Calculation
Estimating the value of 163 million vacant lots (3,500 sq. ft. each) is speculative, given location, zoning, and market variances. This covers ~570.5 billion sq. ft. (~13.1 million acres for lots alone), but developments allocate 20โ30% (~25% average) for roads, utilities, setbacks, and open space (per zoning norms), requiring a ~1.33x multiplier for total land footprint: ~17.5 million acres (~27,300 sq. mile). Lots are geofenced by taxpayer residency for state/territory-specific draws.
Step 1: Total Area
Step 2: Average Land Value Land prices vary: National residential averages (2022 Angi Lot Size Index) from $5.71/sq. ft. (MS) to $110.86/sq. ft. (HI), median $20-$30/sq. ft. Adjusted for 5% annual inflation to 2025: ~$29/sq. ft. midpoint. Outliers like SoCal ($13.77โ$114.78/sq. ft.) highlight potential. Valuation focuses on lots; infrastructure costs (~$50Kโ$100K/acre for utilities/roads) add ~$875Bโ$1.75T but are HUD-subsidized.
Step 3: Rough Valuation (Rural-to-Suburban Averages, $20โ$40/sq. ft. on lots):
Valuation per Rural-to-Suburban 3,500 sq. ft. Lot ( $20K - $140K per Lot)
Low-End $20 ร 3,500 = $70,000 (or $11.41T รท 163M lots = $70,000)
Mid-Range $30 ร 3,500 = $105,000 (or $17.115T รท 163M lots = $105,000)
High-End $40 ร 3,500 = $140,000 (or $22.82T รท 163M lots = $140,000)
(Residential Lot lowest $5.71 x 3,500 = $19,985 Angi Lot for reference)
Step 4: Reality Check 2025 GDP: ~$31 trillion-mid-range exceeds it, signaling scale challenges. Actual vacant lots: 16โ20 million (NAR/Census); total U.S. residential land ~$5โ$10 trillion (Zillow subset). Infrastructure multiplier ensures sustainable layouts but elevates total land need to ~17.5M acres (still <3% of federal holdings).
Step 5: Adjusted Estimate Blended rate ($20/sq. ft. conservative, weighting rural/suburban/urban): Total ~$11.41 trillion upper bound for marketable lots, with regional breakdowns for precision. High-density Hero Villages optimize space, blending federal releases with local infrastructure partnerships.
High-Density Urban Potential: "In high-density urban areas, where land is scarce and costs are prohibitive, innovative repurposing of underutilized federal properties can unlock affordable housing at scale, turning challenges into opportunities for essential workers and families alike." - Inspired by Dr. Edward Glaeserโs emphasis on deregulation for new supply.
The American Dream Lottery๐ incorporates optional high-density Hero Villages on federal lands, offering flexible homeownership pathways. The flagship: Noah Martz's May 2025 "Hero Village" proposal for Floyd Bennett Field (1,300-acre NPS site in Brooklyn), envisioning 20,000 transit-oriented units for NYPD, FDNY, and EMTs-walkable, historic-inspired communities combating shortages (52% of public servants live outside NYC due to costs). It addresses flood risks (post-Sandy) and inclusivity debates while prioritizing essentials.
Winners near metros can opt in, using $250K HUD loans for shares in multi-unit projects (500โ1,650 sq ft units via modular/sustainable builds under $250K). The ~44.7 million eligible essential workers, veterans, and active military receive explicit preference for lots (over cash equivalents) in Hero Villages, securing priority in draws for these service-focused sites. Infrastructure (25% allocation) is integrated via microgrids and permeable designs for efficiency.
Task Category Occupation Employment (thousands)
Providing Care to Others
Home health and personal care aides 3,412
Nursing assistants 1,398
Registered nurses 3,059
Licensed practical/vocational nurses 721
Medical assistants 652
Dental assistants 349
Phlebotomists 102
Subtotal 9,693
Protecting Public Health & Safety
Police/sheriff's patrol officers 659
Security guards 1,046
Firefighters 325
Paramedics 261
Correctional officers/jailers 436
Subtotal 2,727
Making Sure Essential Goods/Services Available
Janitors/cleaners (exc. maids) 2,409
General maintenance/repair workers 1,335
Laborers/freight/stock movers 2,901
Stockers/order fillers 2,587
First-line retail supervisors 1,254
Customer service reps 2,919
Subtotal 13,405
Essential Workers Total 25,825 (25.8M)
Additional: Protecting the Nation & Supporting Service Members (2025 Data)
Active-duty military 1,320
Veterans (living) 17,600
Subtotal 18,920
Grand Total Eligible 44,745 (44.7M)
Leveraging 2025 Responsible AI, units tokenize on blockchain for fast, fraud-proof titles (months to days). Five-year ownership minimum prevents speculation; incentives prioritize essentials. HUD portals enable opt-ins, blending federal land with local transit/infrastructure.
To scale nationwide, the Housing Care Act targets underutilized BLM/USFS/NPS/DOD sites near metros (per 2025 Joint Task Force on Federal Land for Housing). ~1M low-risk acres yield 700K+ units, prioritized for metro/territorial stimulus via HUD partnerships. Lots distributed proportionally to state/territory taxpayers (2025 Census pop proxy, totaling 163M; per site = state total / 2). Infrastructure (25% allocation) is factored into acres needed (~1.33x multiplier for roads/utilities/setbacks/open space). Challenges (floods, wildfires) mitigated with resilient designs. Essential workers/veterans/military get Hero Village lot preference by residency.
State/Territory, Location 1 & 2, Potential Lots (Per Site), Est. Acres Needed (Per Site, w/ Infrastructure)
Grand Total of Potential Lots: ~163,000,002.
Grant Total of Acres: 17,463,240 acres รท 640 acres per square mile = ~27,286 square miles.
Map of Hero Village Sites (โฌ๏ธ below)
Prior to the American Dream Lottery๐ , cities/states/territories can opt into land swaps: Receive cash equivalents for qualifying buildable lots (within 20 miles of limits) drawn in the lottery, capped at 100% of Hero Village-eligible residents within 100 miles. Only one selection per entity for manageability. Swaps account for infrastructure (25% allocation) in appraisals, with essentials' lot preference applying.
Every 12 years from launch, new opportunities for non-prior participants: U.S. citizens 18+, alive, filing returns for โฅ3 of prior 11 years (โฅ full-time min. wage equivalent), with unique SSN. Entries open 12โ4 months pre-draw; HUD includes qualifying lots/swaps by residency, with infrastructure baked into site planning and essentials' Hero Village preference.
This innovative solution in the Housing Care Act eases homeownership for millions, boosting supply, slashing barriers, and fostering stability.
The theoretical value of 163 million 3,500 sq ft lots in 2025 ranges from $11.41 trillion (low) to $22.82 trillion (high), with $17.1 trillion mid-range-still vast, capping realistically at $5โ10 trillion for developable land amid market limits (total U.S. residential ~$5โ$10T). With a 1.33x multiplier for infrastructure (20โ30% allocation for roads/utilities/setbacks/open space), total land need rises to ~17.5 million acres (~27,300 sq mi), or ~2.7% of federal holdings-feasible via phased, residency-based releases. Location data (e.g., CA highs) demands regional precision. If scale concerns arise, further lot reductions (e.g., 2,500 sq ft) or denser villages work. With infrastructure integrated and essentials prioritized in Hero Villages, the American Dream Lottery๐ -via the Housing Care Act-unlocks affordable ownership, surges supply, erases barriers, and builds enduring stability, especially through state-tied developments blending federal innovation with local partnerships.



Legislative Proposal: The Health Care Act and The Housing Care Act. Draft Copies.
Draft copies of the Health Care Act, Alternate Approach for Health Care Act (modify H.R. 3069), and the Housing Care Act for Congress.
Overview and Congressional Consideration
To address the intertwined crises of healthcare access and housing affordability, we present the Health Care Act with the innovative HumanCare๐ฉต HHS app, an alternative amendment to H.R. 3069 (updated to Health Care Act), and the Housing Care Act, incorporating the innovative American Dream Lottery. These proposals empower American families by improving access to healthcare, reducing financial burdens, and enabling homeownership, aligning with bipartisan priorities of enhancing public health, increasing housing supply, and fostering economic stability.
The Health Care Act introduces the HumanCare๐ฉต HHS app, administered by the Department of Health and Human Services (HHS), to streamline healthcare access, provide telehealth services, and deliver personalized health resources to all eligible Americans. The proposed amendments to H.R. 3069 enhance existing affordability measures by integrating technology-driven solutions and expanding coverage options, ensuring equitable healthcare delivery. The Housing Care Act leverages federal land and low-cost financing to make homeownership accessible to millions through a lottery system, adaptable to both urban and rural contexts.
Congress is urged to conduct comprehensive hearings to evaluate these drafts, engaging stakeholders from HHS, HUD, healthcare providers, housing advocates, and industry experts to assess feasibility, economic impacts, and implementation strategies. The legislation streamlines federal resources, reduces regulatory barriers, and integrates modern technologies like blockchain for housing and AI-driven platforms for healthcare to ensure efficiency and equity. By advancing these bold solutions, Congress can address urgent calls from leaders across the political spectrum to tackle healthcare disparities, housing shortages, and economic challenges, positioning the nation for long-term prosperity.
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The Health Care Act
Section 1: Short Title
This Act may be cited as the "Health Care Act of 2025."
Section 2: Findings and Purpose
Congress finds that:
The U.S. healthcare system is marked by inefficiency, high costs, and unequal access, leaving millions uninsured or underinsured.
Universal healthcare can improve health outcomes, reduce administrative waste, and eliminate financial barriers to care.
Technological innovation, such as a digital healthcare platform, can enhance efficiency and patient choice while preserving a free-market system.
The implementation of this Act is intended to stimulate economic activity, improve public health, and generate fiscal surplus for national priorities.
Section 3: Definitions
HumanCare๐ฉต: The universal healthcare program established under this Act.
HHS: The Department of Health and Human Services.
CMS: Centers for Medicare & Medicaid Services.
FICA: Federal Insurance Contributions Act.
Signature Doctors: Healthcare providers who charge fees above the HHS-negotiated rates, with the difference paid by patients.
Junk Food: Food items high in added sugars, saturated fats, or sodium, as defined by the Secretary of HHS.
Section 4: Establishment of HumanCare๐ฉต
(a) Program Creation
There is established a universal healthcare program, "HumanCare๐ฉต," providing comprehensive healthcare coverage to all U.S. citizens with a unique Social Security number, effective January 1, 2026.
(b) Covered Services HumanCare๐ฉต shall include, but not be limited to:
Preventive care (e.g., check-ups, vaccinations, screenings).
Primary care, emergency services, and hospitalization.
Mental health services, including substance use disorder treatment.
Specialty care, prescription drugs, maternal and child health.
Dental and vision care, rehabilitative services, chronic disease management, and end-of-life care.
(c) Cost Structure No premiums, copays, or deductibles shall be charged to participants for covered services.
Section 5: Funding
(a) Funding Sources HumanCare๐ฉต shall be funded through:
Existing Budgets: $3.3 trillion from current HHS and CMS budgets (discretionary and mandatory).
FICA Medicare Increase: An increase in the FICA Medicare contribution rate from 1.45% to 4.35% for both employees and employers, generating approximately $1.3 trillion annually.
New Tax Revenues:
Cigarettes: Federal excise tax increased to $5 per pack, raising $56 billion.
Alcohol: Federal excise tax tripled, raising $31 billion.
E-Cigarettes: 100% tax, raising $9 billion.
Junk Food: 100% tax on items defined by HHS (e.g., exceeding 10% added sugars, 20% saturated fat, or 600 mg sodium per serving), raising $521 billion.
Cannabis: 100% tax on products with โค10% THC, 420% tax on products with >10% THC, raising $50 billion.
(b) Junk Food Definition, the Secretary of HHS shall define "junk food" within 180 days of enactment, based on nutritional standards, potentially adopting an E-number-like system inspired by the European Union to identify unsafe additives.
Section 6: HHS App
(a) Development The Secretary of HHS shall develop an AI-powered digital platform ("HHS App") to:
Enable patients to book appointments, manage prescriptions, and access healthcare services.
Facilitate direct billing to HHS by healthcare providers.
(b) Provider Options
Providers may accept the HHS-negotiated rate, paid weekly, or operate as Signature Doctors, charging additional fees disclosed on the HHS App prior to service.
Patients choosing Signature Doctors shall pay the difference between the negotiated rate and the providerโs fee.
Section 7: Implementation
(a) Effective Date This Act shall take effect on January 1, 2026.
(b) Executive Action, the President may issue an Executive Order to expedite implementation, with HHS ensuring the HHS App and provider integration are operational by the effective date.
(c) Transition Period A 12-month transition period is authorized for healthcare providers to integrate with HumanCare๐ฉต.
Section 8: Surplus Funds
(a) Allocation Any surplus funds (estimated at $1.24 trillion annually) shall be allocated to:
Infrastructure improvements.
Job retraining for displaced administrative workers.
Medical research.
National debt reduction.
(b) Reporting The Secretary of HHS shall submit an annual report to Congress detailing surplus allocation and use.
Section 9: Oversight and Accountability
(a) Oversight Committee An independent oversight committee shall monitor HumanCare๐ฉตโs implementation and operation, reporting biannually to Congress on financial audits, health outcomes, and program performance.
(b) Fraud Prevention, the Secretary of HHS shall establish procedures to investigate and prosecute fraud, with penalties including fines and program exclusion.
Section 10: Amendments to Existing Laws
(a) Social Security Act Title XVIII is amended to expand Medicare eligibility to all U.S. citizens under HumanCare๐ฉต.
(b) Internal Revenue Code, the FICA Medicare contribution rate is amended to 4.35% for employees and employers.
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Alternative approach, align H.R.3069 (Medicare for All Act) with the HumanCare๐ฉต proposal, instead of the standalone Health Care Act
To align H.R.3069 (Medicare for All Act) with the HumanCare๐ฉต proposal, apply these minimal changes, adding AI-powered HHS app, funding (junk food taxes, FICA adjustment), "Signature Doctors," weekly payments, surplus/jobs, and outcomes. Changes target existing sections with italics for additions.
Suggested Amendments to H.R.3069 for HumanCare๐ฉต
1. Section 1: Short Title; Table of Contents
Amend (a): Cite as โHealth Care Actโ or โMedicare for All Actโ.
Add: Title IV, Administration, Sec. 406. AI-Powered HHS Application.
2. Section 201: Comprehensive Benefits
Add (a)(19): Services via AI-powered HHS app (section 406) for appointments, rides, telemedicine, prescriptions, and reminders.
Add to (e): States may add benefits... including "Signature Doctors" premium services above negotiated rates, via the HHS app.
3. Section 401: Administration
Add (l): Outcomes. Secretary to report annually on 0% uninsured, 30% fewer preventable hospitalizations, 20-30% fewer overdose deaths, +2-5 years life expectancy for low-income, 15% less flu hospitalizations, 200,000 fewer bankruptcies.
4. New Section 406: AI-Powered HHS Application
Sec. 406. AI-Powered HHS Application. (a) Establishment. Secretary to develop an AI-powered HHS app for bookings, rides, telemedicine, prescriptions, fraud detection ($140B saved), and resource optimization.
(b) Integration. App to process provider payments (sections 611, 612).
(c) Transparency. Show rates, allow "Signature Doctors" choice.
5. Section 601: National Health Budget
Amend (a)(2): Add (I) Surplus. $1.24 trillion for debt, infrastructure, research, jobs.
Add to (a)(3): Allocation... ensuring $1.24 trillion surplus.
6. Section 611: Payments to Providers
Add to (a)(1): Payments... weekly via HHS app.
7. Section 612: Individual Provider Payments
Add to (a): Payments... weekly via HHS app.
8. Section 701: Universal Medicare Trust Fund
Amend (b)(1): Funds from... FICA increase (1.45% to 4.35%), junk food (100%), alcohol (x3), tobacco (+$5/pack), cannabis (100%-420%), e-cigarettes (100%), totaling $667B, plus $3.3T HHS/CMS budgets.
9. Section 1101: Definitions
Add:
(13) โHumanCare๐ฉต Appโ means the AI-powered HHS app (section 406).
(14) โSignature Doctorsโ means premium providers via the app.
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The Housing Care Act
Section 1: Short Title
This Act may be cited as the "Housing Care Act of 2025."
Section perplexity Findings and Purpose
Congress finds that:
Homeownership is fundamental to the American Dream but is increasingly unattainable due to high costs and limited housing supply.
Federal land can be leveraged to expand housing opportunities and stimulate economic growth.
The American Dream Lottery๐ aims to increase housing supply, create jobs, and boost economic activity by $6-10 trillion.
Section 3: Definitions
American Dream Lottery๐ : The lottery system established under this Act.
HUD: The Department of Housing and Urban Development.
Eligible Taxpayer: A U.S. citizen who filed a federal tax return for the 2023 tax year and has a unique
Social Security number.
Section 4: Establishment of the American Dream Lottery
(a) Program Creation, the American Dream Lottery๐ is established to grant each Eligible Taxpayer (approximately 163 million) a federal land lot or its cash equivalent.
(b) Land Selection Lots shall be randomly selected from vacant federal land managed by the Bureau of Land Management (171.5 million acres), U.S. Forest Service (154.4 million acres), U.S. Fish and Wildlife Service (85.5 million acres), and Department of Defense (2.7 million acres).
Section 5: Land Lots and Cash Equivalent
(a) Lot Specifications Each winner shall receive a lot of approximately 10,000 square feet or its appraised cash value.
(b) Winner Options Within 30 days, winners may:
Accept the land lot.
Receive the cash equivalent (appraised value).
Transfer the lot or cash to their children. If no response is received, the cash equivalent shall be provided.
(c) Appraisal Process Each lot shall be appraised by a certified appraiser to determine its fair market value within 6 months of the lottery.
Section 6: Home Construction Loans
(a) Loan Terms Eligible Taxpayers accepting a land lot may apply for a HUD-backed construction loan:
No down payment.
3% interest rate.
Up to $250,000 for constructing a primary residence.
(b) Economic Impact If 10% of winners (16.3 million) build homes, this could stimulate $4.075 trillion in direct construction spending and $6-10 trillion in total economic activity.
Section 7: Implementation
(a) Timeline
The lottery shall be conducted within 6 months of enactment.
Land lots shall be appraised and awarded within 12 months following the lottery.
HUD shall begin accepting loan applications within 18 months of the lottery.
(b) HUD Oversight, the Secretary of HUD shall ensure a fair, transparent lottery process, with results publicly available.
Section 8: Economic Stimulus
(a) Purpose The American Dream Lottery๐ aims to stimulate economic activity through home construction, job creation (estimated 12.1 million jobs), and increased consumer spending.
(b) Reporting The Secretary of HUD shall submit an annual report to Congress on the programโs economic impact, including homes built and jobs created.
Section 9: Environmental and Zoning Compliance
(a) Environmental Standards All awarded lots shall comply with federal, state, and local environmental regulations, with assessments conducted as needed.
(b) Zoning Coordination HUD shall collaborate with local authorities to ensure lots are zoned for residential use.
Section 10: Oversight and Accountability
(a) Oversight Committee An independent oversight committee shall monitor the lottery and loan distribution, reporting annually to Congress on progress and economic outcomes.
(b) Fraud Prevention, the Secretary of HUD shall establish procedures to investigate and prosecute fraud, with penalties including repayment and criminal prosecution.
Section 11: Compliance with Existing Laws
(a) Land Management Land transfers shall comply with federal land management laws.
(b) Lending Regulations HUD loans shall adhere to federal lending standards.
Let's save the American Dream! Congress can pass the Health Care Act and Housing Care Act below.
DISCLAIMER: This article is presented for informational, educational, and inspirational purposes only, to spark discussion on reigniting the American Dream through innovative, Responsible AI-powered healthcare and housing policies. It is not, and should not be construed as, professional, legal, financial, medical, tax, or investment advice regarding health, housing, AI, economics, or legislation. Concepts like HumanCare๐ฉต and the American Dream Lottery๐ are unvetted proposals requiring expert review, congressional oversight, and full legal compliance. No professional relationship is formed by reading this. Author Ken Mushet is not a licensed attorney, physician, advisor, policy expert, or AI specialist, just a dedicated American dad advocating bold, bipartisan solutions based on public data and personal vision.
Thank you for your time; your voice matters! Join me in urging Congress to debate and sponsor the Health Care Act and Housing Care Act to transform challenges into prosperity. Together, let's save the American Dream! ยฉ 2025 Ken Mushet.
๐ฝAmerican Dream: Health Care and Affordale Housing Policy for all 50 States (Territories also):
'70s vibe Health Care Act and Housing Care Act. Peace.