# The Imperative Foundation

> A foundation to reform and advance American health care


## Posts

- [Medicare And Social Security Face Automatic Benefit Cuts In 2032 And 2033](https://imperativefoundation.org/medicare-and-social-security-face-automatic-benefit-cuts-in-2032-and-2033/): Social Security's retirement trust fund runs short in late 2032.
- [Half Of American Adults Can’t Afford The Health Care They Need](https://imperativefoundation.org/half-of-american-adults-cant-afford-health-care/): Only 49% of U.S. adults, fewer than half, can get quality, affordable health care and pay for the care and medicine they need.
- [U.S. Health Care System Is in Crisis](https://imperativefoundation.org/u-s-health-care-system-is-in-crisis/): During 44 years of active surgical practice, I have witnessed numerous, significant, and onerous progressive changes that threaten the quality, safety, accessibility, and affordability of medical care in this country.
- [Millions Are Dropping Coverage Since Congress Let Obamacare Subsidies Expire](https://imperativefoundation.org/millions-are-dropping-coverage-since-congress-let-obamacare-subsidies-expire/): Marketplace coverage fell from 21.8 million people in February 2025 to 19.2 million in February 2026, 2.6 million fewer, about 1 in 8 enrollees.

## Pages

- [Sources](https://imperativefoundation.org/sources/): Registry principle: Primary source beats secondary coverage. Derived figures are clearly identified and their methodology is disclosed.
- [Global Health](https://imperativefoundation.org/ppp/): A blueprint for global health, for all nations and all peoples.
- [Privacy Policy](https://imperativefoundation.org/privacy-policy/): The Imperative Foundation is a 501(c)(3) nonprofit organization dedicated to the reform of U.S.
- [For Everyone](https://imperativefoundation.org/for-everyone/): Please review our YouTube video, "U.S. Health Care In Crisis" at imperativefoundation.org.
- [For Employees](https://imperativefoundation.org/for-employees/): Please review our YouTube video, "U.S. Health Care In Crisis" at imperativefoundation.org.
- [For Unions](https://imperativefoundation.org/for-unions/): Please review our YouTube video, U.S. Health Care In Crisis at imperativefoundation.org.
- [For Employers](https://imperativefoundation.org/for-employers/): Please review our YouTube video, U.S. Health Care In Crisis at imperativefoundation.org.
- [Home](https://imperativefoundation.org/): Open enrollment runs October 15 through December 7. See every plan offered where you live, what it could cost you in a year, and what changed from 2026.
- [Directors and Advisors](https://imperativefoundation.org/directors-and-advisors/): The Imperative Foundation is governed by a board of directors and supported by an advisory board.
- [About](https://imperativefoundation.org/about-and-history/): The Imperative Foundation was formed to accomplish what Congress cannot and will not do: reform U.S.
- [Participate](https://imperativefoundation.org/participate/): The U.S. health care system will not reform itself. Congress will not act until citizens, employers, unions, and communities make reform impossible to ignore.
- [Contact Us](https://imperativefoundation.org/contact-us/): Send us a note, ask a question, or leave us a testimonial.
- [Donate](https://imperativefoundation.org/donate/): The Imperative Foundation is a 501(c)(3) nonprofit, granted tax-exempt status by the IRS in 2025. Donations are tax-deductible to the extent allowed by law.


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