I'm a Dedicated Free-Market Advocate, Yet Universal Medicare Is the Best Hope for US Healthcare
Deductibles. Preferred providers. Out-of-network. Premium health services. Personal healthcare costs. Co-payment. Shared insurance. Insurance consultants. Insurance brokers. Medical advisors. ACA. Health Maintenance Organization. Preferred Provider Organization. EPO. POS. HDHP. HSA. Flexible Spending Account. Health Reimbursement Arrangement. Explanation of Benefits. COBRA. SHOP. Individual coverage. Dependent coverage. Premium tax credits.
Confused? You should be. Who comprehends all this stuff? Certainly not the average entrepreneur. Nor the typical employee. Selecting the right healthcare insurance for our business – or for our families – appears to require it requires advanced expertise in medical insurance.
The Healthcare System Isn't Just Complicated, It Is Costly
According to recent research, the average family pays $twenty-seven thousand each year on medical coverage (increasing by 6% compared to last year). Typical employer health insurance cost is projected to surpass $seventeen thousand for each worker by 2026, an increase of 9.5% compared to 2025.
Now the government is shut down due to partisan disputes over subsidies which analysts predict could cause a doubling of premiums for numerous US citizens.
When Might We Truly Examine National Health Insurance?
When will we genuinely evaluate universal healthcare coverage here in America? I have to believe we're getting closer because this can't continue.
I'm not proposing government-run medicine. I'm proposing for our current Medicare program – an established insurance framework – simply expand to cover everyone. Our infrastructure doesn't change. The way medical professionals receive payment would change. Trust me, they will adjust.
How Universal Coverage Would Work
Universal healthcare coverage would require payments from employees and employers. In comparable systems, an employee making moderate income must contribute approximately five point three percent toward medical coverage. The company must contribute about 13.75%.
Does this appear expensive? Not if you compare it to what the typical American pays. I can name dozens of businesses that are routinely paying anywhere from 8% to 15% of payroll costs for medical benefits. Remember that with comprehensive systems, those payments include pension plans, sick pay, maternity leave and unemployment benefits along with supporting medical services. When you add these expenses versus our current spending on retirement programs, job loss coverage and vacation benefits, the difference decreases.
Execution for America
In the US, a national health premium would raise existing Medicare taxes, a framework already established. It ought to be income-adjusted – those at higher income levels would contribute higher amounts than those earning less. There would be both worker and company payments. Similar to much of our government's defense, IT, welfare services and transportation services, the program could be managed to third-party administrators rather than federal agencies.
Advantages for Entrepreneurs
A national health insurance program represents a significant advantage for small businesses such as my company. It would place us on a level playing field against big corporations who can afford better plans. It would render administration significantly simpler (a payroll deduction processed similarly to social security and Medicare taxes, instead of individual transactions to benefit firms and insurance providers).
It would make it easier for us to budget our yearly costs, rather than going through the complicated (and ineffective) theater of bargaining with major insurers that we must do every year. Due to simplification, there would be a better understanding about benefits among workers – contrasted with the current system which require them to decipher the complexities of current options. Additionally there would certainly be less liability for employers as we no longer have access to our employees' health histories for purposes of risk assessment and alternative plans.
Capitalist Perspective
I'm as pro-market as they get. But I've learned that government play important functions in society, including national security to supporting essential systems. Providing healthcare 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 fund half of our GDP. It makes it possible employees to be healthier, have better attendance and be more productive.
Considering Challenges
Exist numerous factors I'm not addressing? Certainly. Given rising medical expenses we've seen in recent years, it's clear that the Affordable Care Act is not working very well. I understand that America isn't a small, Scandinavian country where big changes are easier to implement. But expanding universal Medicare, despite increased taxation that would be incurred, would still be a better and less expensive approach for not only controlling healthcare costs and ensuring coverage for all citizens.
Need for Realistic Evaluation
We as Americans, we need to reduce national pride. America's medical care isn't exceptional. The US places well below numerous nations in healthcare quality in the world, based on comprehensive research. Perhaps a positive aspect amid present circumstances is that we take a hard look at ourselves and acknowledge that major reforms need to happen.