Urge Congress to Adopt a Prevention-First National Care Framework

The United States spends more on healthcare than any other nation, yet millions of people still delay care, lose coverage during life transitions, fall into preventable crises, or exit the workforce permanently due to instability. These outcomes are not caused by lack of effort or responsibility. They are the result of systems that intervene too late, operate in isolation, and fail to protect people during predictable moments of disruption.

The United States Care Act (USCA) addresses this failure by establishing a prevention-first national care framework that coordinates existing healthcare and stability programs so people do not fall through gaps between systems. Rather than creating a new entitlement or replacing private markets, the Act focuses on continuity, early intervention, and system alignment to prevent avoidable collapse.

Healthcare functions as the clinical core of this framework, but medical care alone cannot prevent crisis when people lack housing, food access, income continuity, childcare, or pathways back to work. The United States Care Act integrates healthcare with five additional, evidence-backed pillars that address the real-world conditions driving health and economic outcomes:

• Healthcare and preventive care
• Housing stability and homelessness prevention
• Nutrition and food access
• Education and lifelong learning
• Career support and workforce stability
• Income and disability continuity when needed

The Act is implemented through the United States Care Network, a coordination framework that aligns existing healthcare, housing, nutrition, education, workforce, and income-support systems. This ensures continuity during predictable life transitions such as illness, pregnancy, caregiving, recovery, reentry after incarceration, disability onset, or job change.

Federal evidence consistently shows that coordinated, early intervention reduces emergency utilization, lowers lifetime healthcare costs, preserves workforce participation, and improves outcomes for families and communities. Preventing crisis costs far less than responding after collapse.

The United States Care Act does not promise perfection. It does not eliminate personal responsibility, replace employers, create permanent income guarantees, or expand unrelated policy areas. It does something more practical and necessary: it ensures that people are not pushed into irreversible crisis simply because help arrived too late or not at all.

We urge Congress to prioritize adoption of a prevention-first national care framework that strengthens stability, reduces long-run public costs, and allows existing systems to work together more effectively.

Sign this petition to urge Congress to adopt the United States Care Act and commit to coordinated, early intervention that works.

For those who wish to review the full policy framework, economic logic, and implementation details, the complete proposal is available here:

Full United States Care Act Proposal:
👉 Google Docs:
https://docs.google.com/document/d/1_AMSHAHHMkPImVNE7u6ZU4MLyYLrHlIgpE75Q_UELNc/edit?usp=sharing