The New Iowa Healthcare Compact
Much Better Care for Iowans
by Sondra Wilson. Updated May 21, 2026.
Did you know...
— The CEOs of Iowa Total Care, Molina, and Wellpoint, who manage Iowa’s Medicaid system, each receive roughly $20 million per year while Iowans are denied coverage and rural hospitals struggle to stay open?¹ ² ³
— The U.S. spends an estimated 15–25% of healthcare dollars on administration, billing complexity, and insurance bureaucracy — hundreds of billions of dollars annually?⁴ ⁵
— Medicaid “churn” — repeatedly removing and re-enrolling eligible people due to paperwork and renewal requirements — significantly increases administrative costs and disrupts care for patients?⁶
My healthcare plan begins with a simple premise: Redirect administrative waste into care for Iowans.
The New Iowa Healthcare Compact is a complete upgrade compared to Iowa's current healthcare system.
It is a unique, two-tier system that:
1.) Guarantees essential healthcare for every Iowan — with better core coverage than many Iowans currently receive under private insurance plans
2.) Partners Iowa’s insurance industry with businesses across the state to expand coverage, strengthen workforce retention, and reduce costs for working families and small businesses
3.) Redirects wasteful healthcare bureaucracy into direct patient care, caregiver pay, rural healthcare stabilization, and expanded benefits for Iowa’s workforce
Read the New Iowa Healthcare Compact.
Or, read the extended, long-form version here: Full Plan
"There is no reason on God's green Earth that CEOs of tax-funded healthcare organizations should be making $20 M per year, while the Iowa taxpayers are being denied coverage."
- Sondra
References
- Molina Healthcare, Inc., Proxy Statement (Form DEF 14A), filed with the U.S. Securities and Exchange Commission, April 2024.
- “Elevance Health’s 5 Highest-Paid Executives 2025,” Becker’s Payer Issues, March 31, 2025.
- Centene Corporation, Proxy Statement (Form DEF 14A), filed with the U.S. Securities and Exchange Commission, April 2024.
- Michael E. Chernew and J. Michael McWilliams, “Administrative Expenses in the US Health Care System,” JAMA 326, no. 15 (2021): 1498–1499.
- David Blumenthal et al., “High U.S. Health Care Spending: Where Is It All Going?” The Commonwealth Fund, October 4, 2023.
- Benjamin D. Sommers et al., “Medicaid Churning and Continuity of Care,” Health Affairs 35, no. 10 (2016): 1819–1827.
