Political assumptions leading to the design of SecureChoice
• American culture, values, and political system should not be assumed to change
• Current stakeholders will be engaged in the policy debate, so there should be a potential role for each player in the new system
• Even if the relative importance of a stakeholder group will be diminished, there should be opportunities for some members of that group to thrive in the new system
• Although SecureChoice is a design with all the components of a fully operational health care system, pieces can be implemented in a thoughtful manner
• During and after the transition, the new system should be able to operate alongside the current system
• Individuals and organizations should be able to choose whether to operate in the new system or the old
• As the advantages of the new system become more apparent, the old may eventually collapse and supplemental funding may be necessary for those too close to retirement to make the transition