SondraCare™
They’ll call it that anyway — might as well trademark it!
by Sondra Wilson. Updated July 18, 2025.

Although numerous other logistics are written below, my platform for Governor includes two-tiered approach to healthcare reform for the State of Iowa:

1. Single-payer healthcare; Individuals and anyone who earns $500 K may “opt out” from the tax and Healthcare Workers are Exempt — “Single-payer” means that every Iowan will pay a flat rate (4%) to help fund this program. Mathematically, it is the most cost effective for Iowans to pay for healthcare for essential services. Once this state-run, publicly-owned system is in place, Iowans will no longer have to do any paperwork when entering the hospital. It will be exactly as they do in London: they will simply ask, “What’s going on, and how can I help?” There will be no talk about “Waiting to see if your insurance comes through.”

– Those who earn less than $500,000, and who want to keep their private insurance, may choose to “opt out” from paying taxes on Iowa’s new state-owned version of Medicaid.

– Anyone who works in Healthcare are exempt form the tax and still receive full coverage.

2. Premium Packages for Iowa-based Businesses to offer their employees — Iowa-based insurance companies will be strongly encouraged to band together to form a cooperative. The purpose will be to come up two packages to offer Iowa-based businesses:

1. Small Business Package — Small businesses tend to get hit harder when it comes to affording things like insurance packages. Therefore this package must be made affordable to make sure small businesses are excited and happy about this offer!

2. Big Business Package — Big businesses tend to be able to absorb costs by blanketing it over their large variety of products. Therefore, this package can cost a bit more, but still make it a sweet deal so that employees and employers are very happy about this rollout.

These packages must include an expanded network of providers (e.g. surgeons, doctors, therapists, etc.) not covered by the single-payer system, and access to what many insurance companies could deem cosmetic. We’re not going to go crazy and let people get bat wings or deer antlers, but if people feel insecure about part of their body — if they need hair plugs, rhinoplasty, face lift, breast augmentation — this plan will help them out. There should be no shame in any of this: we are blessed to have the technology. It is time to get over the stigmas, be grateful for what we have access to, expand coverage, and live a good, happy life.

 

The state will assist any Iowa-based health insurance company that suffers as a result of this plan

This was a difficult plan to come up with, as it required a lot of input from a wide variety of people over the years. The most difficult factors were:

(1) How to get everyone covered, because no one deserves to suffer,

(2) How to make it as cost effective for Iowans as possible,

(3) How to incentivize labor and help Iowa-based businesses, and

(4) How to do this in a way that doesn’t throw Iowa’s health insurance companies under the bus.

I have done my best to weigh each of these factors in a manner which has kept points (1) and (2) as top priorities, while accounting for the fact that points (3) and (4) are crucial. If the unfortunate instance occurs wherein Iowans lose health insurance jobs as a result of this plan, under my leadership the state will ensure that each employee is safely parachuted if they lose their jobs.

It is important to note that the healthcare insurance industry was invented back during a time when Iowa (and the United States) did not have the medical infrastructure we are now are blessed to have in place. The University of Iowa Hospitals and Clinics, Mercy, Mary Greeley, Broadlawns, and countless urban and rural hospitals are the absolute lifeblood of Iowa. We depend on our medical infrastructure and the people who work these important jobs. It is cruel when a surgery or healthcare need is denied when a loved one is at risk or danger. 

 

 

It is good to have a backup plan!

We cannot be naïve. After all, hope is not a plan:

Above image by openDemocracy respectfully utilized in accordance with the U.S. Copyright Office’s Fair Use Policy and the Fair Use Doctrine.

I do not know the faiths of Iowa’s multi-millionaire and multi-billionaire classes, but the answer seems pretty obvious: if they can afford to toss millions of dollars over the tops of our heads and game our elections, they can certainly afford a tax increase to ensure Iowans have the life-saving care we need. If they don’t like this idea and they want to save money, they can do so by no longer meddling in our elections. 

If the ultra-wealthy decide not to show they care and fork it over, then the Public Intelligence Agency (“PIA”) shall hire young, brilliant minds out of Iowa State University’s Cyber Security program and similar programs, to track down every dollar of Iowa’s multi-millionaire and billionaire classes, even if that means tracking down offshore tax havens. After all, this is embezzlement, and must be treated as such.

For every penny the State of Iowa spends tracking these assets and accounts down, persons who are found guilty of overseas stashery or other forms of tax evasion, shall be fined with escalating fees for each day they continue to keep it hidden. They can avoid this via coming clean ahead of time, and paying their 4%. For those whom we know have money stashed away, but which they won’t come clean about, there will have to be jail time. We really hope it doesn’t have to come to this, however that is why the PIA’s mascot might have to be RoboCop, and this is why Iowans need a strong Governor who is not compromised or involved in shady, backdoor deals, and who will stick up for them.

Above image of RoboCop from the RoboCop Wiki is respectfully utilized in accordance with the U.S. Copyright Office’s Fair Use Policy and the Fair Use Doctrine.

 

Reduced Administrative Costs (taxes) for Welfare Programs

Instead of taxpayers paying administrative costs of constantly sending out renewal letters to Medicaid and SNAP recipients, Iowa’s taxpayers will save money by not sending out letters. Wasted tax dollars will instead go toward IowaCares.

While being blessed enough to participate in DMACC’s London Abroad program, Professor Moody pointed out, during our “British Life and Culture” class, that when Londoners go to the hospital, there is no paperwork. The first thing they ask is, “What’s going on?” My entire class gasped and groaned. I thought about how my surgery has repeatedly been denied these past several years, and the numerous horror stories I’ve heard from other Iowans who are being denied life-saving coverage.

Increased Pay for Caregivers

Through the Iowa Commonwealth Act, wages will be increased so that we can keep people working these very difficult, noble, seemingly thankless jobs. I have no envy for the people who do this tireless work, but I do have empathy and admiration for them.

 

The Parable of Two Men and Their Horses
Omg – the tranny speaks in parables!?

Two men each had a horse that was sick, but they needed to get up the mountain to secure their cabins before the winter storm.

Donald did not want to wait until his horse got well. That would take too long!
Instead he decided to ride his sick horse up the mountain.

The other man, Gandalf, decided to care for his horse until it got well before heading up the mountain.
“That’s going to take forever! You’re an idiot!” scoffed Donald, as he left camp and headed up the base of the mountain.

Two days later, Gandalf’s horse, Shadowfax, was neighing in delight and prancing around. Knowing that she feeling better and wanted to ride, Gandalf put his packs on the horse and rode up the mountain.

About halfway up they saw Donald crying and looking down at his poor horse, which lain collapsed on the ground, exhausted and shivering.

“You ought to have formed a more solid plan.” said Gandalf.

“I had a concept of a plan!” said Donald assuredly.

Unfortunately, a concept of a plan wasn’t enough.

The Moral

Many say, “Work hard and save up, then you can afford surgery,” however feeling completely overwhelmed by the sheer cost of a surgery is extremely daunting, especially while suffering because you can’t afford surgery. If we want happy, hard-working Iowans, we should prioritize healing them first so that they do not collapse halfway up the mountain.

Above images used for First Amendment purposes in accordance with the US Copyright Office’s Fair Use Policy and the Fair Use Doctrine.

 

Section on transgender healthcare is being finished. Please check back soon!

While being blessed enough to participate in DMACC’s London Abroad program, Professor Moody pointed out, during our “British Life and Culture” class, that when Londoners go to the hospital, there is no paperwork. The first thing they ask is, “What’s going on?” My entire class gasped and groaned. I thought about how my surgery has repeatedly been denied these past several years, and the numerous horror stories I’ve heard from other Iowans who are being denied life-saving coverage. I do not know the faiths of Iowa’s multi-millionaire and multi-billionaire classes, but the answer seems pretty obvious: if they can afford to toss millions of dollars over the tops of our heads and game our elections, they can certainly afford a tax increase to ensure Iowans have the life-saving care we need. If they don’t like this idea and they want to save money, they can do so by no longer meddling in our elections. 

 

 

References

Featured Image/GIF:

Ames Local. Mary Greeley Medical Center. https://ameslocal.com/mary-greeley-medical-center/

CBS Austin.  (November 8th 2017). ‘The Wave’ at Iowa brings sense of community, pride. Associated Press. https://cbsaustin.com/sports/college/the-wave-at-iowa-brings-sense-of-community-pride.

DSM.  (6/4/2024). Broadlawns Medical Center. https://dsmmagazine.com/2024/06/04/broadlawns-medical-center-2/

Image of Spok: Traves, Lindsay. (May 10, 2023). This is Why We ‘Live Long and Prosper’. https://www.startrek.com/news/live-long-and-prosper-jewish-history-month.

Image of Captain Janeway: Pierce-Bohen, Kayleena (Feb. 15, 2020). Star Trek: 10 Things You Didn’t Know About Female Captain Kathryn Janeway. ScreenRant. https://screenrant.com/star-trek-voyager-janeway-hidden-facts/.

Centene. 2025. Centene Subsidiary IOWA TOTAL CARE awarded statewide Medicaid contract. Centene Corporation. https://investors.centene.com/2024-09-04-CENTENE-SUBSIDIARY-IOWA-TOTAL-CARE-AWARDED-STATEWIDE-MEDICAID-CONTRACT.

Iowa Workforce Development. (2022). 2022 Iowa Industry Profile. https://workforce.iowa.gov/media/752/download

Overland, Dina. (April 3, 2014). WellPoint CEO earned $17M first year on the job. Fierce Healthcare.  https://www.fiercehealthcare.com/payer/wellpoint-ceo-earned-17m-first-year-job.

Rosenes, Mark. (November 22, 2023). Which health insurance CEOs get the highest pay? Insurance Business. https://www.insurancebusinessmag.com/us/guides/which-health-insurance-ceos-get-the-highest-pay-467513.aspx.