Universal coverage requires capacity to deliver it. The architecture builds capacity through four channels: VHA expansion to non-veteran enrollment where headroom exists; rural hospital stabilization or takeover when fee-for-service economics fail; telehealth and mobile health for geographic reach; and Kaiser-style integrated provider organizations under capacity-payment contracts where direct federal operation doesn't fit.
Anchor
VHA expansion
VHA's existing 172 medical centers + 1,138 outpatient sites become the architectural backbone for Phase 1 enrollment, with documented capacity headroom + workforce expansion. Read component →
Primary
Rural hospital stabilization + takeovers
Capacity-payment stabilizes rural hospitals where fee-for-service economics fail. Federal takeover at fair market value preserves access where stabilization fails. Read component →
Primary
Telehealth + mobile + Post Office 2.0 health kiosks
Telehealth is the architecture's primary capacity-multiplier. Mobile clinics serve geographic deserts. Post Office 2.0 kiosks deliver low-acuity care in every ZIP code. Read component →
Primary
Kaiser-style integrated provider organizations
Where direct federal operation doesn't fit, RFI/RFQ contracts with integrated provider organizations (Kaiser, Geisinger, Intermountain, Mayo) deliver care on capacity-payment terms. Read component →