Macroeconomic Ledger Breakdown

Aggregate national estimates across the 4 Pillars comparing status-quo financial extraction against member-owned, at-cost operations. Figures below are fully sourced from official U.S. economic accounts, federal regulatory filings, and peer-reviewed industry data.

Pillar / Sector Current System Cost Basis At-Cost Mutualized Basis Reclaimed Public Capital
Pillar 1: Member-Owned Banking & Credit [6][7] $2.85 Trillion [6] $0.98 Trillion [7] $1.87 Trillion / yr
Pillar 2: Mutualized Universal Healthcare [8][9] $5.10 Trillion [8] $2.67 Trillion [9] $2.43 Trillion / yr
Pillar 3: Mutualized Property Insurance [1] $0.93 Trillion [1] $0.67 Trillion [2] $0.26 Trillion / yr
Pillar 4: Sovereign Government Solvency [3] $1.47 Trillion [3][4] $0.86 Trillion [5] $0.61 Trillion / yr
Total Annual Reclaimed Capital $10.35 Trillion $5.18 Trillion $5.17 Trillion / yr

All values represent aggregate annual national flows. At-cost baselines retain 100% of direct clinical compensation, claims paid, and essential reserve buffers while eliminating middleman margins and duplicative bureaucracy.

Methodology & Sources

Pillar 1 — Member-Owned Banking & Credit: "Current System Cost Basis" ($2.85T) captures total annual non-financial interest and debt servicing extractions across U.S. households ($600B+ revolving/consumer interest via BEA NIPA Table 2.1; $850B+ residential mortgage interest via Federal Reserve Z.1 Financial Accounts) and non-financial business debt service, combined with commercial banking non-interest fee overhead and net interest margin extractions ([6]). "At-Cost Mutualized Basis" ($0.98T) models credit provisioning at true cost-of-capital: replacing 7%–25%+ commercial APR spreads with a pure administrative and default-reserve buffer (1.50%–2.25% on collateralized debt, ~4.5% on uncollateralized revolving lines), eliminating secondary securitization spreads and Wall Street tolling ([7]).

Pillar 2 — Mutualized Universal Healthcare: "Current System Cost Basis" ($5.10T) reflects aggregate U.S. National Health Expenditures ([8]). "At-Cost Mutualized Basis" ($2.67T) preserves 100% of direct physician, clinical, nursing, and hospital care delivery, while eliminating non-clinical administrative overhead, multi-payer billing complexities, private health insurer underwriting margins ($71B+ across top payers), PBM rebate spread skimming ($27.6B+), medical-device monopolistic markups ($72B+), and inflated proprietary pharmaceutical spreads down to international direct-manufacturing reference costs ([9]).

Pillar 3 — Mutualized Property Insurance: "Current System Cost Basis" reflects net premiums written by the U.S. property/casualty insurance industry in 2024 ([1]). "At-Cost Mutualized Basis" retains claims paid ($558.8B) and claims-adjustment expense ($85.4B) in full — both are real costs any ownership model must cover — and replaces the industry's current administrative/acquisition layer with a public-program-benchmark administrative allowance (~3% of premiums), based on the documented overhead ratio of publicly administered insurance programs ([2]). "Reclaimed" is the difference: the portion of current spending attributable to commissions, marketing, and profit rather than claims or claims administration.

Pillar 4 — Sovereign Government Solvency: "Current System Cost Basis" combines net interest on the federal debt in FY2025 ([3]) with the federal tax compliance burden, using the midpoint of the two most recent independent estimates ([4]). "At-Cost" retains the majority of debt interest as-is — most federal debt is held by domestic pension funds, individual savers, and the government itself, not extractable corporate margin — and counts only interest paid to foreign private holders as a plausibly-addressable slice ([5]), alongside an assumed ~90% reduction in tax compliance costs under a simplified administration.

  1. National Association of Insurance Commissioners, U.S. Property & Casualty and Title Insurance Industries – 2024 Full Year Results, 2025.
  2. PolitiFact, "Comparing administrative costs for private insurance and Medicare," Sept. 20, 2017; Healthcare-NOW, "Insurance Administration Costs" (international single-payer overhead comparison).
  3. U.S. Department of the Treasury, Monthly Treasury Statement, FY2025; Committee for a Responsible Federal Budget, "Trillion-Dollar Interest Payments Are the New Norm," Dec. 16, 2025; U.S. GAO, Financial Audit: Bureau of the Fiscal Service's FY2025 and FY2024 Schedules of Federal Debt, GAO-26-107908, Jan. 20, 2026.
  4. Tax Foundation, "IRS Tax Compliance Costs," 2025 data release ($536B); National Taxpayers Union Foundation, "The Hidden Cost of the Tax Code," 2026 ($477.4B). Midpoint of the two used above.
  5. Congressional Research Service, Foreign Holdings of Federal Debt, RS22331, updated April 22, 2026 (interest paid to foreign holders: $282.4B in 2025; 58.1% of foreign holdings are private, non-governmental investors).
  6. U.S. Bureau of Economic Analysis (BEA), National Income and Product Accounts (NIPA), Table 2.1 (Personal Income and Its Disposition, Line 31: Personal Interest Payments); Federal Reserve Board of Governors, Z.1 Financial Accounts of the United States (Balance Sheet of Households and Non-Financial Corporate Business Debt); Federal Deposit Insurance Corporation (FDIC), Quarterly Banking Profile (Net Interest Margin and Noninterest Income reports).
  7. Federal Reserve Bank of New York, Center for Microeconomic Data: Quarterly Report on Household Debt and Credit; Consumer Financial Protection Bureau (CFPB), Consumer Credit Card Market Report (Analysis of Cost of Funds vs. Margin Spreads).
  8. Centers for Medicare & Medicaid Services (CMS), National Health Expenditure (NHE) Historical and Projected Data, Office of the Actuary; CMS National Health Accounts (NHA by Source of Funds).
  9. Shrank, W. H., Rogstad, T. L., & Parekh, N. (2019), "Waste in the US Health Care System: Estimated Costs and Potential for Savings," JAMA, 322(15), 1501–1509; National Academy of Medicine (NAM), Best Care at Lower Cost: The Path to Continuously Learning Health Care in America; Federal Trade Commission (FTC), Report on Pharmacy Benefit Managers and Prescription Drug Supply Chain, 2024.