page 4.— THE REFORM AGENDA

How to Close the Gap

Principle--Focus on performance, not ideology.

1. National Performance Framework

Establish a small set of measurable national goals:

• Life expectancy

• Cost-adjusted income

• Education outcomes

• Public trust

Require transparent, annual reporting.

2. Performance-Based Government

Shift funding and evaluation from inputs to outcomes:

• Healthcare → cost per health outcome

• Education → student progress

• Infrastructure → delivery efficiency

3. Delivery Units (Execution Focus)

Create small, high-performance teams to:

• Track progress

• Remove bottlenecks

• Ensure implementation

4. Healthcare Reform (Priority Area)

• Transition to value-based care

• Improve pricing transparency

• Expand primary care

👉 Goal: Lower cost while improving outcomes

5. Cost of Living Reforms

• Housing: zoning and supply reform

• Childcare: scalable hybrid models

• Education: reduce financial burden

6. Fiscal Discipline

• Multi-year budgeting frameworks

• Independent fiscal oversight

• Outcome-based spending review

7. Political System Improvements

• Increase transparency in campaign financing

• Encourage broader voter participation

• Reduce structural incentives for polarization

8. Rebuilding Trust

• Public dashboards for outcomes

• Increased transparency

• Citizen engagement mechanisms

Closing Statement

The United States has the capacity to lead not only in wealth—but in wellbeing, efficiency, and trust.

What is required is not reinvention—
but disciplined, measurable improvement.