As a Committed Free-Market Advocate, Yet Medicare for All Is the Top Hope for US Health System

Deductibles. Preferred providers. Non-preferred providers. Concierge medical services. Personal healthcare costs. Fixed payment. Shared insurance. Insurance consultants. Coverage agents. Healthcare consultants. ACA. HMO. Preferred Provider Organization. EPO. POS. HDHP. Health Savings Account. FSA. HRA. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Family coverage. Insurance subsidies.

Baffled? You should be. Who understands this complex system? Not the typical business owner. Nor the typical worker. Selecting the right medical coverage for our business – or for our families – seems like demands a PhD in medical insurance.

The Medical System Is More Than Complex, It Is Expensive

Based on a recent study, the average family spends $twenty-seven thousand each year for their health insurance (increasing by 6% from last year). The average employer health insurance cost is expected to surpass $17,000 for each worker by 2026, a 9.5% jump compared to 2025.

Currently federal operations is shut down due to political disagreements regarding tax credits that experts say will lead to a doubling of premiums for numerous US citizens.

When Will We Seriously Consider National Health Insurance?

How soon might we genuinely evaluate a national health insurance program here in America? I have to believe we're approaching that point because this can't continue.

I'm not suggesting national healthcare. I'm advocating that our already existing Medicare program – an insurance system – merely extend to cover everyone. The existing system remains intact. How medical professionals get paid changes. Trust me, they'll adapt.

How Universal Coverage Could Function

A national health insurance program would require payments from employees and employers. In similar programs, an employee making average wages must contribute about 5.3% toward medical coverage. Their employer must contribute approximately thirteen point seventy-five percent.

Does this seem expensive? Not if you contrast it to what average American pays. I know dozens of clients who are routinely paying anywhere from eight to fifteen percent of their employee wages to their healthcare costs. Remember that with comprehensive systems, those payments include retirement benefits, illness coverage, maternity leave and job loss protection along with supporting medical services. When including those costs versus what we pay for our retirement plans, job loss coverage and vacation benefits, the gap narrows.

Execution in the US

In the US, universal healthcare funding would raise our Medicare tax deduction, a framework already established. It ought to be means-based – wealthier individuals would pay more than lower-income earners. There would be both an employee and employer contribution. Similar to many our government's defense, IT, welfare services and infrastructure, the system should be outsourced to third-party administrators instead of a government office.

Benefits for Small Businesses

Universal healthcare coverage would be a huge benefit for small businesses like mine. It would put us on a level playing field with our larger competitors who can afford better plans. It would make administration significantly simpler (automatic payroll withholding remitted like social security and healthcare taxes, instead of separate payments to benefit firms and insurance providers).

It would make simpler to plan expenses annual expenditures, rather than enduring the complicated (and ineffective) theater of bargaining with the big insurance providers required annually each year. Because it's simplified, there would be a better understanding of coverage by our employees – as opposed to existing arrangements where they have to interpret the complications of current options. Additionally there would certainly be less liability for companies as we no longer would be privy to workers' medical records for purposes of risk assessment and alternative plans.

Capitalist Perspective

I'm as capitalist as possible. However I recognize that public institutions has a significant role in society, including national security to supporting needed infrastructure. Ensuring medical coverage for everyone via universal healthcare strengthens our economy's infrastructure. It's a better, simpler approach for entrepreneurs which hire more than half of the country's workers and generate half of our GDP. It makes it possible for workers to enjoy better health, come to work more often and increase productivity.

Considering Challenges

Exist a million considerations I'm not addressing? Certainly. Given all the healthcare cost increases we've seen in recent years, it's evident that the Affordable Care Act is not working effectively. I understand that America isn't a small, Scandinavian country where big changes are easier to implement. But expanding universal Medicare, even with the additional taxes that would be incurred, would still be a superior and less expensive approach both for managing medical expenses and ensuring coverage to everyone.

Time for Realistic Evaluation

We as Americans, we need to reduce national pride. Our healthcare system isn't so great. The US places significantly behind numerous nations with the best healthcare globally, based on comprehensive research. Perhaps a positive aspect in this present circumstances could be that we undertake a hard look in the mirror and acknowledge that major reforms need to happen.

Jessica Anderson
Jessica Anderson

A passionate gamer and tech reviewer with over a decade of experience in analyzing games and sharing insights to help others level up.