Encke and Yankee raise good points here. Any assessments of how this bill would affect the economy or healthcare market would be totally arbitrary, especially as regions begin to model their own systems around the new program. As far as the budget is concerned, the subsidies would cost, according to PiT's estimates, about $465 billion. (I posit that Atlasia would spend notably less on healthcare as a percentage of GDP than the United States does, although I can't prove this definitively. However, I'll note that countries which do guarantee universal access to healthcare for their citizens spend considerably less than the United States does.)