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WE THE PEOPLE PLATFORM — PILLAR 9: UNIVERSAL LONG-TERM CARE
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Download type:  Pillar
Group ID:       P9
Generated:      May 12, 2026
Documents:      14

DESCRIPTION
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All documents tagged with Pillar 9 (Universal Long-Term Care). Contains 14
documents spanning multiple folders.

DOCUMENTS INCLUDED
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  1. What Changes — Future State Milestones at 5, 10, and 15 Years
     05_Analytical_Framing/05_What_Changes_Milestones.docx
     Best for: Readers wanting to see what success looks like, both for
     individuals and for the country. Describes the platform's effects through
     milestones at five, ten, and fifteen years after enactment, with both
     individual and country perspectives at each timepoint. The document is
     explicit that these are optimistic-but-defensible interpretations of what
     the analytical foundation supports, not predictions. Includes a section
     explicitly walking through the range of possible outcomes from optimistic
     to pessimistic, and a section identifying what the platform does NOT
     solve (long-term care, housing affordability, climate adaptation
     requirements beyond Future Capacity Fund disbursements, geographic
     inequality, educational quality variations). When to read: Read after the
     manifesto if you want to see what the future under the platform might
     look like concretely. Helpful for both supporters who want to articulate
     the case and skeptics who want to evaluate whether the trajectory is
     plausible.

  2. Federal Program Integration Plan
     05_Analytical_Framing/05_Federal_Program_Integration_Plan.docx
     Best for: Readers asking how universal healthcare interacts with
     Medicare, Medicaid, ACA (Affordable Care Act) marketplaces, and the VA
     (Department of Veterans Affairs) system. Closes a critical gap identified
     in v2.10 audience verification testing. Articulates the architectural
     relationship between the platform's universal healthcare and the federal
     healthcare programs that already cover ~150 million Americans. Medicare
     continues for the 65+ population with absorption of Part B premiums and
     Hospital Insurance payroll tax. Medicaid's working-age coverage is
     replaced by universal healthcare; long-term care continues as
     restructured Medicaid. ACA marketplace subsidies are absorbed; exchanges
     continue as supplemental marketplaces. The VA system continues largely
     unchanged. Long-term care is honestly acknowledged as the largest
     remaining gap, with universal long-term care insurance positioned as a
     candidate for a future platform pillar requiring its own substantiation
     work. Net federal healthcare spending after integration: approximately
     $1.1 trillion in net new commitment, fundable through the universal
     healthcare contribution plus absorbed program funding. When to read: Read
     this immediately after the Healthcare Transition Detailed Plan. Together
     they answer the two most-asked questions about universal healthcare: how
     is the transition managed (Healthcare Transition Detailed Plan) and how
     does it interact with existing programs (this document).

  3. Existing Pensioners and the Platform
     05_Analytical_Framing/05_Existing_Pensioners.docx
     Best for: Approximately 75 million Americans receiving retirement income
     from at least one defined benefit source. AARP (American Association of
     Retired Persons) members, retired federal/state/military employees,
     Social Security recipients, and private DB plan recipients. Anyone over
     60 evaluating the platform's effect on existing retirement income. Maps
     the platform against pensioners across Social Security retirees (52M),
     state and local government pensioners (11M), federal civilian retirees
     (2.6M), military retirees (2.1M), and private DB plan recipients (10M).
     The platform's treatment is largely preservation: existing benefits
     continue unchanged as vested rights; existing healthcare (Medicare, FEHB,
     TRICARE, state retiree benefits) continues with universal healthcare
     integration; existing tax treatment continues with wage floor exemption
     available as alternative methodology. The Community Contribution Plan
     replaces FICA at a revenue-neutral rate in mature steady state, producing
     no benefit changes for existing Social Security recipients. The
     platform's most valuable specific contributions to pensioners are
     universal healthcare's coverage of the early-retiree gap (eliminating
     financial planning challenge of pre-Medicare years for
     federal/military/state early retirees, approximately 10 million people)
     and broader insulation from healthcare cost inflation that universal
     coverage provides. Younger spouses of Medicare-eligible pensioners (a
     non-Medicare-eligible spouse of a 65-year-old retiree, for example)
     receive universal healthcare automatically rather than needing to
     maintain private insurance until their own Medicare eligibility. The most
     significant unresolved issues are the long-term care gap (acknowledged
     but not solved by the platform), the Social Security taxation threshold
     question (set in 1983/1993 statute, unindexed for inflation), and the
     wage floor exemption mechanics for retirement income. Eight Open
     Questions document remaining work. When to read: Read after the Manifesto
     when you are a current pensioner or will be one within the next decade.
     Read with the Federal Program Integration Plan for the Medicare
     integration mechanics, and with the Public-Sector Worker Transitions
     document if you receive a federal civilian, military, or state pension.

  4. Multigenerational Households
     05_Analytical_Framing/05_Multigenerational_Households.docx
     Best for: Members of multigenerational households (~24 million households
     containing ~62 million people), family policy professionals, and
     reviewers asking how the platform handles household structures beyond the
     nuclear family default. Particularly relevant for Hispanic, Asian
     American, Native American, and immigrant communities where
     multigenerational living is more common. Maps the platform's treatment of
     multigenerational households across four primary patterns: adult children
     living with parents (~16 million Americans aged 18-34); grandparents
     raising grandchildren (~3 million children in ~2 million households);
     three-generation households (~6-7 million households); and
     cultural-pattern multigenerational living. The platform's per-individual
     benefits architecture and per-filer tax architecture handle these
     households cleanly without special-case design. The wage floor
     architecture is generally favorable for multigenerational households
     because multiple filers each claim appropriate occupational wage floors.
     Identifies four design choices warranting attention: Bridge Credit
     evaluation methodology (per-filer vs household-aware), informal caregiver
     support (currently unaddressed in the platform), long-term care policy
     (largest unaddressed gap, particularly relevant for households providing
     eldercare), and calculator workflow support for multi-filer households.
     The platform's most direct effect on multigenerational households is the
     same as for other households: $30,000-40,000 in annual cost reduction
     across the various platform commitments for a typical three-generation
     working household. Seven Open Questions document remaining work. When to
     read: Read after the Manifesto if you live in a multigenerational
     household. Read with What This Means For You when comparing your
     multigenerational situation to the standard scenarios in the comparison
     tables.

  5. Aging-in-Place Implications
     05_Analytical_Framing/05_Aging_In_Place_Implications.docx
     Best for: Older Americans (and their families) planning retirement,
     residents and families considering CCRCs and assisted living, family
     caregivers (~53 million), and reviewers asking what the platform does
     about long-term care. Critical reading for AARP, retirement community
     resident councils, and aging-focused advocacy organizations. Identifies
     long-term care as the platform's largest single coverage gap. The Federal
     Program Integration Plan acknowledges this; this document develops the
     analysis. Maps the platform's interaction with CCRC residents (~750K in
     ~1,900 communities under three contract types), assisted living (~1M
     residents at average ~$60K/year), nursing homes (~1.3M residents at
     average ~$94-108K/year), HCBS (Home and Community-Based Services)
     programs (state-administered, varies enormously), PACE (~70K
     participants), and informal caregivers (~53M Americans providing
     $400-500B annually in unpaid care). The Medicaid spend-down dynamic
     continues under the platform. Outlines three design directions for future
     platform versions: Direction A (Long-Term Care (LTC) pillar with
     dedicated payroll contribution); Direction B (Medicaid HCBS expansion);
     Direction C (hybrid universal/means-tested). The platform's architecture
     leaves room for substantial LTC expansion in future versions. Eight Open
     Questions document remaining work. When to read: Read with the Federal
     Program Integration Plan and Existing Pensioners and the Platform when
     you are planning for or providing eldercare. Critical reading for
     households where adults are caring for aging parents.

  6. Open Issues Registry
     05_Analytical_Framing/05_Open_Issues_Registry.docx
     What it does: Consolidates everything the platform is aware of but has
     not fully resolved. Includes (a) issues mitigated in v2.24 (Manifesto
     cover tagline; healthcare per-capita timeline; TOC rate language); (b)
     open issues awaiting resolution (healthcare contribution rate has four
     different values across the package; wealth surcharge architecture has
     three versions; FFIA shows zero net new revenue from "modified income tax
     architecture"; Adjacent Pillars Under Development uses outdated framing);
     (c) topics aware of but needing more research (Federal Reserve / monetary
     policy interaction; housing market interaction; wage floor disemployment
     quantification; healthcare cost reduction decomposition; Sovereign Fund 4
     percent return scenario; intersectional pay gap analysis;
     climate-omission strategic reasoning); (d) acknowledged scope omissions
     (long-term care, hearing aids, comprehensive climate policy, housing
     supply, immigration); (e) acknowledged process limitations (lead author
     not credentialed economist; External Reviews folder contains only AI
     reviews; mathematical models not independently audited). When to read:
     Read after the Manifesto if you want to know what the platform's authors
     know about the platform's limitations. The registry is offered in the
     same spirit as the Provenance document — transparency over polish.

  7. Universal Long-Term Care Substantiation (Pillar Nine)
     05_Analytical_Framing/05_Universal_Long_Term_Care_Substantiation.docx
     Best for: Anyone wanting the substantiation behind Pillar Nine, the
     platform's ninth pillar (Universal Long-Term Care) added in v3.3.0.
     Documents the case, architecture (1.0% combined payroll = 0.6% employer +
     0.4% worker), six components (functional-need eligibility, home and
     community-based services, family caregiver support, workforce,
     federal-state coordination, transition mechanics), 15-year transition,
     federal-state coordination including tribal consultation, comparison with
     German and Japanese systems, and open issues for credentialed external
     review.

  8. We The People Overview Slideshow — Option A (Light Update; Twelve Pillars)
     06_Presentation_Materials/06_We_The_People_Overview_OptionA_Light.pptx
     Best for: Anyone wanting the lightest of three slideshow alternatives
     produced for comparison. Option A preserves the original 16-slide deck
     structure and adds one new slide for the four pillars added in 2026
     (P9-P12). (The original sixteen-slide deck has been removed in v3.7.5;
     Option A supersedes it for the same audience.) See also Options B and C.

  9. We The People Overview Slideshow — Option A (Light Update; PDF)
     06_Presentation_Materials/06_We_The_People_Overview_OptionA_Light.pdf
     Best for: Same content as the Option A PowerPoint, in PDF format for
     distribution and viewing without PowerPoint. Auto-generated from the pptx
     file via headless soffice export.

 10. We The People Overview Slideshow — Option B (Medium Restructure; Twelve Pillars by Funding)
     06_Presentation_Materials/06_We_The_People_Overview_OptionB_Medium.pptx
     Best for: Anyone wanting an overview slideshow that organizes the
     twelve-pillar architecture by funding mechanism. Option B is the medium
     restructure of three slideshow alternatives produced for comparison;
     preserves the original three-problems-share-one-solution framing and the
     three primary pillars detail; replaces the existing slide 8 with three
     new slides showing all twelve pillars organized by funding architecture
     (twelve-pillar overview, five payroll-funded pillars with P6+P8 combined
     into one cell, four non-payroll mechanisms).

 11. We The People Overview Slideshow — Option B (Medium Restructure; PDF)
     06_Presentation_Materials/06_We_The_People_Overview_OptionB_Medium.pdf
     Best for: Same content as the Option B PowerPoint, in PDF format.
     Auto-generated from the pptx file via headless soffice export.

 12. We The People Overview Slideshow — Option C (Full Rebuild; Life-Stage Organization)
     06_Presentation_Materials/06_We_The_People_Overview_OptionC_LifeStage.pptx
     Best for: Anyone wanting an overview slideshow that organizes the
     twelve-pillar architecture by life stage. Option C is the full rebuild of
     three slideshow alternatives produced for comparison; preserves the
     original three-problems-share-one-solution framing and the three primary
     pillars detail; replaces the existing slide 8 with five new life-stage
     slides showing how all twelve pillars map to childhood, working age,
     retirement and aging, with cross-cutting infrastructure pillars on the
     overview slide and a final funding-architecture summary slide.

 13. We The People Overview Slideshow — Option C (Full Rebuild; PDF)
     06_Presentation_Materials/06_We_The_People_Overview_OptionC_LifeStage.pdf
     Best for: Same content as the Option C PowerPoint, in PDF format.
     Auto-generated from the pptx file via headless soffice export.

 14. Persona-Based Reading-Path Simulations: Pillars 7-11
     05_Analytical_Framing/05_Persona_Simulations_P7_P11.docx
     Best for: Verifying that the platform's documentation answers the
     questions a persona-typical reader would actually ask. Walks a
     representative reader persona through Pillars Seven through Eleven (Civic
     Infrastructure, Paid Family Time, Long-Term Care, Housing, Climate).
     Companion to the Pillars 2-6 simulations.

FORMAT
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Each document is included in two formats:
  - .docx — original Word document (best for editing or full-fidelity reading)
  - .html — self-contained browser-viewable version (works on any device)

The .html files include the platform's flag background, formatting, and
a navigation link back to the platform index (if you have the rest of the
package). They open in any web browser by double-clicking.

ABOUT THE PLATFORM
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The We The People Platform is a federal-policy reform proposal package
authored by Jason Robertson. The full platform consists of 109 documents
across 12 policy pillars. This ZIP is a curated subset.

Full platform: https://wethepeopleplatform.com
(or the platform_index.html page from the full package)

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