Guarantee Tertiary Care Within Every LGA
GREEN WHITE GO MANIFESTO — 2026.10.01 · CANONICAL THREE-SENTENCE UNIT
Every LGA is guaranteed tertiary medical capacity, while Geo-economic Zones coordinate ultra-specialist referral and research networks for capabilities too rare or costly to duplicate everywhere and the Federation maintains exceptional national apex capability, with patients free to cross Zonal boundaries whenever the appropriate care requires it.
Existing Federal Medical Centres, teaching hospitals, specialist institutions and other suitable health assets should be reused, networked, upgraded or redesignated before new construction is assumed, while specialty lists, designation criteria, referral arrangements and network mechanics belong in the Tertiary and Specialist Care Policy Papers.
The purpose is to keep the ordinary referral ladder close to citizens while pooling the rarest and most specialised capabilities at the scale where they can realistically be sustained.
Detailed memo and supporting materials
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Available · v0.1 · 2026-10-01
Download supporting materialsWhy it sits here
The purpose is to keep the ordinary referral ladder close to citizens while pooling the rarest and most specialised capabilities at the scale where they can realistically be sustained.
Evidence and limits
Service guarantees are destination proposals. Geographic feasibility, workforce, facilities, recurrent funding and costing require implementation work; a legal duty alone is not proof of access.
The proposal remains distinct from current law and from evidence for individual components.
Evidence notes for this pillarRelated Hard Questions
No. The ladder runs from Neighbourhood primary care through Ward secondary and LGA tertiary care to Zonal ultra-specialist networks and Federal apex capability. Zonal boundaries are not clinical barriers; patients go where the required capability exists. Existing hospitals and specialist institutions should be mapped and reused before unnecessary construction.