Most Americans are deeply frustrated with our current healthcare system; so are doctors, providers and medical professionals. There must be a better way.

Dr. Scott Goold, PhD, political science with emphasis on heathcare policy offers a solution. Scott served as a union vice president. Employers hold American workers hostage with to healthcare coverage.

Americans need healthcare, and must be employed to have affordable healthcare. Employers exploit workers because they are desperate for healthcare. Work conditions are abusive; wages, salaries and compensation are poor because employees are desperate for healthcare.

Why are Americans forced to obtain healthcare through their employer? Smart Americans demand FREEDOM to CHOOSE affordable healthcare from other systems. Smart Americans demand competition in healthcare packages.

Scott Goold, director of InfoImagination, designed medical fee schedules for nearly ten years for the State of New Mexico. Served the Obama admnistration during development of the Affordable Care Act (2009).

ACA isn't efficient because private insurer pools are too small, thus costs are too high. Bernie Sanders advocates Medicare For All, but his solution proves untenable in our current political space. Dr. Goold suggests an interim step: Medicare for Anybody. Nobody is forced. Americans can choose freely.

MAGA CRUELTY and INCOMPETENCE is REAL

Scott Goold assisted President Obama in 2009 as his team developed the Affordable Care Act. Republicans, and MAGA, have demanded "Repeal & Replace" now for 16 years. Still no replacement. This is the REALITY of MAGA: millions of Americans will now lose healthcare insurance coverage January 1, 2026. Medicare for Anybody is the "replacement."

This is the REALITY of MAGA: premiums exploding to $1,781.49 per month from $74.99 per month. Lynda Turek was foolish enough to vote for the pedophile-friendly president. Big mistake. Big regret!

UPDATE 11.19.25: At this time, two of every three Americans accept that the current president is a narcissistic fool and con man. He promised to lower grocery prices Day #1; higher today. Promised tariffs would not increase our costs. He lied; they have. Tariffs also slowed economic growth and led to massive layoffs. He brags about lower inflation, although inflation now runs about 4.5%, which is higher than pandemic-inflation Americans suffered May 2023. Promised to end the Ukraine/Russia war Day #1; still raging! His MAGA coalition has fallen apart — he is a lame duck president.

In desperation and hoping to deflect criticism from this inability to Make America Afforable Again, Dementia Don suggested an insane healthcare proposal.

Making promises to "throw" money at people seems to be the last-breath option of this dying politician. Just recently, he suggested using tariff tax revenue to send $2,000 checks to low and Middle Class families. First, his tariffs likely are unconstitutional. Only Congress can levy tariff taxes. Second, only Congress could authorize these payments. Now, he wants to "send" Americans money so they can "negotiate" and then "pay" for their own healthcare.

Imagine: you're not feeling well. You need to call around and ask 3-5 medical facilities how much for a check-up. Then, you must attempt to negotiate when they tell you $1,000.00. You versus the Medical Industry and their legion of attorneys and bureaucrats. What a foolish plan! Only a fool would propose such a plan; only fools will listen — and there are millions of fools in our nation. Over 77M were foolish enough to vote for this shyster.

For serious people who want a real & workable solution, keep reading. Medicare For Anybody is the path forward.

UPDATE 8.30.25: Bernie Sanders wrote today:
There is no reason why we should have a lower life expectancy than every other major country while spending nearly 2x as much per capita on health care.

The function of a rational health care system is to provide quality care for ALL, not make insurance and drug companies rich.

UPDATE 5.12.25: Bernie Sanders wrote today:
"If Trump is serious about making real change rather than just issuing a press release, he will support legislation I will introduce to ensure we pay no more for prescription drugs than people in other major countries."

Bernie added, "If we come together, we can get it passed in a few weeks." Republicans will NEVER pass such legislation. Medicare For All will not happen at this time. Americans instead can compromise: Medicare For Anybody." Don't force. Let Americans FREELY choose.

Bernie also pointed out today, "The disastrous Republican reconciliation bill would cut Medicaid & the Affordable Care Act by $715 billion — throwing 13.7 million Americans off of Medicaid & the health insurance they currently have — in order to give a $1.2 trillion tax break to the top 1%. It must be defeated."

UPDATE 1.17.25: My friend Ashley Jo Snyder reposts a sad, tragic story about Alex Smith. He died because he couldn't afford insulin. Medicare caps the cost of insulin:

Your Medicare drug plan can't charge you more than $35 for a one-month supply of each Part D-covered insulin product, and you don't have to pay a deductible for your insulin. If you get a 3-month supply of Part D-covered insulin, your costs can't be more than $105—that is, $35 for each month's supply.

UPDATE 12.16.2024: FisherKing says, Before Obamacare it was possible to buy health insurance that covered a catastrophic event (like cancer) and just pay out of pocket for a checkup. Obamacare means you have to pay more to subsidize all kinds of things that don’t impact you. And of course it has led to further consolidation in the industry.

Most of these plans had subpar coverage. Cheap, but one gets what they pay for. Worked for people who were young, generally healthy, but didn't provide much overall coverage. Preventing cancer or catastropic events requires annual or periodic preventive care. Cheap plans discourage such care, and men in general tend to neglect preventive care.

Obamacare offered complete coverage for individuals and families. For Obamacare (ACA) to work financially however, government had to incentivize the PRIVATE SECTOR to create LARGE subscriber pools ... in all insurance models, the healthy pay for those injured or sick.

Medicare For Anybody solves this financial challenge. Medicare has the largest pool of subscribers in the nation. ANYBODY who wants can join; NOBODY is forced. Prices will be lowest for maximum coveage.

For-Profit healthcare insurance rewards CEOs and stockholders, while punishing Americans in need of medical services. Why not let Americans join Medicare?

UPDATE 9.1.2021: Today, Senators Brian Schatz (D-HI) and Ben Ray Luján (D-NM) reintroduced the State Public Option Act, bicameral legislation to create a Medicaid-based public health insurance option to strengthen the Affordable Care Act by providing Americans with a new high-quality, low-cost choice when purchasing health insurance.

The State Public Option Act will allow states to create a Medicaid buy-in program for all of their residents regardless of income, giving everyone the option to buy into a state-driven Medicaid health insurance plan.

A summary of the MEDICAID for Anybody legislation is available here:
State Medicaid For Anybody Act Summary

I offered a similar plan to my U.S. Congresswoman, Tulsi Gabbard, two years ago (see below). She refused to meet with me.

UPDATE 12.10.2020: Rep. Alexandria Ocasio-Cortez (D-N.Y.), Bernie Sanders's most vocal and visible ally, admitted recently Democrats may need to "compromise deeply" on the "Medicare for All" plan to pass the legislation. Medicare for All in its current form is DOA in Congress with both Democrats and Republicans. Here in Hawai'i, we work to find aloha solutions to challenges. We have a proposal for America.

My friend Malia is compassionate and seeks to help millions of Americans. But ObamaCare doesn't work — it has become extremely expensive — around $1,000/month for a single subscriber in many places. Open enrollment has begun for the Health Insurance Marketplace (visit HealthCare.gov). You can create an account to check plans and pricing for yourself.

Here are the quotes I received in December 2020. The Bronze plan runs $725.25/month for me, as an individual. Note there is a $7,000 deductible. I must "meet" that deductible before any insurance payments begin. Insurance premiums for the year total over $8,703.00 alone.

The Gold plan runs $1,016.13/month — or $12,195.72 for the year. There is a $1,000 deductible before plan payments begin. Neither of these plans are affordable for most Americans.

Background into Scott Goold's Proposal

As I shared with friends, I voted for Barack Obama and supported ObamaCare, but it failed to perform as we hoped. Insurance pools for Private Companies are too small and costs are now too high. Bernie Sander's Medicare For All proposal won't pass in America at this time either.

There is a compromise: Medicare for Anybody. People can join as they wish; nobody is forced; and prices will be far lower than ObamaCare Private Company premiums — due to the larger size of the Medicare pool. I retain the history of this policy effort here.

Tried to get my U.S. Congresswoman Tulsi Gabbard to adopt this proposal in 2019. She had been a strong leader in national politics, due to her moderate and middle-of-the-road positions. Unfortunately, she decided not to run for re-election and retires from Congress. Tulsi gave up on progressives and turned to Team Donald J Trump. Unfortunately, see why Tulsi can no longer be trusted.

Dr. Goold recently certified additional CME/ME education credits on Medical Cannabis, and provided recommendations to the group to ensure safety of medical patients. Scott has been a passionate and dedicated political advocate for increased anti-discrimination protections for medical cannabis patients in Hawai'i and nationally. Scott Goold's book, "Becoming Tribal: How WOKE Hawai'i Triggered the Rise of MAGA and Donald J Trump" soon to be published.

UPDATE 8.3.2020: Jeffrey Young, writing in HuffPost, pointed out correctly the American healthcare system leaves us all vulnerable to massive costs and uneven access, even under the best of circumstances. Unfortunately, as we witness now, when the economy goes south, things get really awful.

Although unions have been supportive of Senator Sanders, they are highly divided over his proposed Medicare for All proposal. The 60,000-member Culinary Workers Union declined to endorse any Democrat in the Nevada caucuses stating Medicare for All threatens hard-won private health plans they previously negotiated.

More liberal unions, such as the American Federation of Teachers and the Service Employees International Union, claim leaving health benefits to the government could free unions to focus on wages and working conditions. Conservative unions like the International Association of Fire Fighters and New York's Building & Construction Trades Council don’t trust government to create a health plan as good as what their members currently enjoy.

The current national disaster and global pandemic we suffer has illustrated one critical aspect about healthcare in America — forcing individuals and families to obtain their medical insurance through their employer is (1) costly and (2) dangerously inefficient when people lose their job, want to work for themselves or are interested in a position at a company that does not offer healthcare coverage. We're the only nation in the world that operates like this. It's time for a national upgrade.

Have you considered: Medicare For Anybody? This is a proposed public option that offers Americans the opportunity to buy into government-run insurance plans. Nobody is forced to switch plans. Private companies are not required to offer such plans. This is FREEDOM to decide what is best for you and your family.

Spent the past year trying to get an audience with Tulsi. She's my U.S. Represenative was running for president. Volunteered with her campaign and was able to meet with her father. Pleaded with him to get my message to Tulsi.

Didn't ask anything from Tulsi. Offered to pay my way to meet her Anytime/Anywhere. Just wanted to give her a realistic plan that would launch her to national status. The time is now!

I post my letter to her father and Tulsi's campaign I sent months ago. Presidential-candidate Kamala Harris had released something similar at the time, which wasn't realistic. I believed Tulsi could make headlines and improve her political standing. Unfortunately, she refused to meet with me. She's my represenative and I wanted to help both her and the nation.

Medicare For All is an excellent plan. In a perfect world, this would be the best solution for Americans. As we know, the world isn't perfect. We can't jump from where we are today to Medicare For All in one giant leap. This would be too disruptive to our economy and the healthcare insurance industry.

The solution is an interim step of a "public option" that is voluntary and available to anyone who wishes to participate. I call this Medicare For Anybody. If an individual or family likes their current private healthcare plan, they keep what they have. If they are dissatisfied, they can join Medicare For Anybody. No pressure — just savings!

This insurance plan would not be free. Individuals and families would pay a monthly premium, as we currently do with other private sector coverage. However, Medicare has a lower overhead and can purchase services in bulk. This allows Medicare plans to offer the same coverage as does a private company, but for lower costs.

For example, I was recently covered by a COBRA plan through CIGNA. Cost me $699 per month. Premiums for the Affordable Care Act program (above) cost over $725 per month (Bronze Plan) and over $1,016 per month (Gold Plan). A similar Medicare For Anybody plan would cost about $399 per month for an individual. This would save an individual a minimum of $3,600 per year. Wowzer!

Now, what would you do?

Aloha Mike and Tulsi,
My healthcare plan is similar to the proposal expressed by Kamala Harris. But better — as my plan doesn't require a ten-year transition. It utilizes the foundation created by the Afordable Care Act. Most importantly, my plan does not force individuals to make a choice or give up an existing plan.

Medicare For Anybody is a voluntary program. The plan does not threaten existing private healthcare insurers, although it does introduce greater competition into the market. Bottom line is the plan saves subscribers money, while increasing payments and reinbursements to providers.

These outcomes are possible because the plan reduces waste, duplication and inefficiencies entrenched in the currently bloated healthcare system.

Kamala Harris Unveils Her Version Of "Medicare For All" [source]

Better than Kamala's proposal and it's called Medicare For Anybody. Overall concept is clear and simple. It's easy to explain and implement. We needed details to remain secret — as Tulsi will receive the most effective coverage by a major launch. I respect what Tulsi and Bernie represent. I'm their loyal solider. The time is now to unveil this plan for the nation.

Rather than Obama's Affordable Care Act, it will be the AnyBodyCare Act ... national website would be ABC.gov. How easy and clean would this be?

Tulsi has been FIRST in many pursuits in her life. She can now capture headlines and hearts of Americans. The time is now!

Kamala's Proposed Plan:
Government-run insurance, but with a 10-year transition and a private alternative for those who want it. We can't wait ten years. Commander Tulsi, the time in now!

Her program would eventually replace employer-sponsored plans, over the course of a decadelong transition. It would allow private insurers to offer an alternative form of coverage, much as they do today for seniors on Medicare.

Have a wonderful day!

InfoImagination director, Scott Goold, PhD, seeks to meet with his political represenative, Tulsi Gabbard, about a proposed healthcare solution for America. Tulsi is a fourth-term United States Congresswoman from the 2nd District of Hawai'i. Scott currently lives on O'ahu but remains in her district at his 96746 Kaua'i zipcode location.

He votes for her, supports her campaign financially, volunteers for her campaign, and believes Tulsi Gabbard is the only political leader in America with both the Compassion and Wisdom to heal this nation.

Mr. Goold recognizes Representative Gabbard is extremely busy in her dedicated efforts to serve this nation and the people of Hawai'i Nei, as well as continue her campaign for president. [photo credit: TULSI 2020]

• PhD-candidate and research program beginnng in 1993 focused on healthcare and environmental policy;
• earned Silver medal in 1996 Olympic Games in Atlanta, as a coach and trainer with Chinese Women's Volleyball team;
• program coordinator with Department of Health to reduce smoking-initiation among kids and teens, and to end secondhand smoking in our communities;
• co-director HoopCamp.net dedicated to enhancing the lives of Special Needs and autistic athletes;
• conducted medical and insurance industry analysis for workers' compensation;
• earned advanced community addiction recovery (CARS) certification in 2011 and advanced accredication in 2013 from the CDC and University of New Mexico School of Medicine focused on ending the opioid epidemic, and most recently;
• certified as a COVID-19 Contact Tracer through Johns Hopkins University.