Healthcare optimized for health, not cost containment
The U.S. healthcare system is not failing because of bad medicine or bad people. It is failing because of distorted incentives. Modern healthcare evolved to manage financial risk at scale, and over time that purpose quietly displaced the human one.
Keepwell Health Union exists because better people are not enough. We need better systems. Systems where the path of least resistance is aligned with your wellbeing. Systems optimized for health, not cost containment.
We are a federation of independent, nonprofit healthcare cooperatives bound by a shared charter. We deliver primary care, mental health, urgent care, diagnostics, and care coordination directly to members—with no billing, no prior authorization, no insurance friction for routine care. Catastrophic coverage stays where it belongs: protecting against rare, expensive events, not controlling everyday medical decisions.
This is not incremental reform. This is structural redesign—built on fiduciary responsibility, long-term stewardship, and an unshakable commitment to the people we serve.
Mother Keepwell is the spirit of this organization—not a person, founder, or mascot, but a moral conscience that lives in every decision. She is everywhere and nowhere. She is that voice asking: Are we acting as a reasonable steward would? Are we keeping faith with the people who depend on us? She represents steady, patient, long-term care with no incentive to cut corners and no tolerance for exploitation. Like asking "What would Gene do?" long after Gene Roddenberry passed, we ask: Would Mother Keepwell approve? This question forces clarity and ensures we serve members, not ourselves.
Acting in your best interest is not a marketing slogan—it's a binding rule. Our structure makes advocacy the path of least resistance, not a heroic exception.
Health is a long-term shared asset requiring continuity. You're a member whether you visit this month or not. The relationship persists.
Complexity hides harm. We reject billing codes, copays, deductibles, and prior authorization for routine care. Simple systems protect members.
Leadership compensation is tied to member outcomes. Poor performance triggers reinvestment in the system, not punishment. The system repairs itself.
Independent local unions bound by shared principles. Growth as responsibility, not expansion. Replication, not acquisition.
No shareholders. No private equity. No profit distribution. Surplus is reinvested into care quality and expanded access. Mother Keepwell is our standard.
Comprehensive overview of the Keepwell model, including organizational structure, scope of care, reinsurance strategy, staffing model, and financial projections.
Read ProposalExecutive summary outlining the problem with current healthcare, the cooperative solution, and the initial launch plan with funding requirements.
Read MemoIn-depth exploration of the fiduciary healthcare model, San Francisco pilot program, financial comparisons, and cost-benefit analysis over time.
Read ConceptThe philosophical and operational foundation of Keepwell. Explores why healthcare fails structurally, how to design systems that resist extraction, and what it means to act in the spirit of Mother Keepwell. This is our constitutional document and shared standard.
Read Charter BookComprehensive bylaws template for local Keepwell unions, implementing fiduciary governance, outcome-linked compensation, and immutable principles from the Charter Book.
View BylawsInteractive financial projections and modeling for Keepwell unions, including member growth, revenue, expenses, and key metrics over time.
View DashboardOrganizational bylaws governing the structure and operations of Keepwell Health Union, establishing governance frameworks and operational principles.
View BylawsCapital requirements and fundraising strategy for launching Keepwell unions, including investment needs, use of funds, and financial sustainability plan.
Read MemoComprehensive pitch for employers interested in offering Keepwell membership as a benefit, demonstrating value, cost savings, and improved employee health outcomes.
Read PitchTemplate letter of intent for organizations and partners interested in establishing or supporting a Keepwell Health Union in their community.
View Letter