There is no other viable option than the deep reform of our health care system.
There is no stronger social or political power than citizens, employers, and communities who share an imperative need, hold a strong will, and embrace a moral duty to act for themselves, their future, and the nation.
There is no other path to health care reform than a National Alliance of those citizens, employers, and communities who have the presence, the purpose, and the power to compel Congress to do what it cannot and will not do on its own.
The Imperative Foundation is building that National Alliance — and we need your support for our imperative mission.
Time is short. Medicare and Social Security underfunding triggers automatic cuts in 2033 immediately impacting more than 70 million Americans and increasing every year thereafter.
Congress will not act until the political risk of inaction exceeds whatever the health care lobby offers to impair, prevent, or sideline reform. The National Alliance is the will and presence that brings change.
Our health care system will not reform itself.
We need your donation and support.
The Case for Reform
The structural cause:
The American health care system is structurally built to generate revenues and profits for the health care industry. That structure focuses on delivering revenues and profits for the health care industry — not patient-focused quality health care at a sustainable cost.
The financial cost:
From 1999 to 2024, the U.S. overpaid more than $40 trillion for health care compared with what peer nations would have paid, if the peer nation had the same population as the U.S.
The human cost:
More than 100 million Americans are uninsured, underinsured, carrying medical debt, or unable to afford their prescriptions.
The generational cost:
281 million Americans — every person born after 1965 — are paying into Medicare and Social Security benefits they will not receive at the promised level, saddled with roughly $175 trillion in unfunded obligations that Congress has deferred onto their future, along with an unsustainable and ever-growing national debt. The consequences are real and will define their futures and their families' futures — reduced retirement security, higher taxes, diminished public services, personal financial insecurity, and a health care system even less capable of serving them than the one that has failed their parents and will deeply fail them.
The congressional failure:
Congress has not enacted meaningful health care reform in the last fifty years. Every member of Congress knows the numbers and the consequences. Congress's failures are a failure of will, a failure of duty, and a failure of the trust their constituents gave them. Congress is aligned to the health care industry's $750 million spent annually on lobbying, influence, and campaign donations. The health care lobby employs six lobbyists for every member of Congress. Who lobbies for our citizens and nation?
The conclusion:
Only a National Alliance of proactive citizens, employers, and communities has the social and political presence to change that calculation.
The Path Forward
Educate
A video series, newsletters, podcasts, and social media to explain the crisis and the solutions.
Align
Building the National Alliance that compels Congress to act for the needs of its people rather than congressional self-interests and the health care industry.
Advance
With aligned partners, implementing a framework that increases quality, reduces costs, imposes accountability, and transitions the nation to universal health care. The technology exists to deliver what the system has failed to provide. We are developing the framework to deploy it.
The Time to Act
The health care system Americans have long deserved and demanded will not come from Washington. It can only come from us.
Donate. Participate. Share our work with your family, your coworkers, and your employer.