As a Committed Free-Market Advocate, But Universal Medicare Is the Top Solution for US Health System

Deductibles. Preferred providers. Out-of-network. Concierge medical services. Personal healthcare costs. Fixed payment. Shared insurance. Insurance consultants. Insurance brokers. Healthcare consultants. Affordable Care Act. HMO. PPO. Exclusive Provider Organization. POS. HDHP. Health Savings Account. FSA. HRA. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. SHOP. Individual coverage. Dependent coverage. Insurance subsidies.

Confused? You should be. Who understands this complex system? Certainly not the average business owner. Neither the average worker. Choosing the right medical coverage for our business – or for households – appears to require demands advanced expertise in healthcare.

Our Healthcare System Isn't Just Complex, It Is Costly

According to a recent study, the average family spends $27,000 annually for their health insurance (up 6% from last year). Typical company healthcare expense is expected to surpass $17,000 for each worker by 2026, a 9.5% jump compared to 2025.

Currently federal operations is shut down because partisan disputes regarding tax credits which analysts predict will lead to premium increases up to 100% for millions of Americans.

When Might We Truly Examine National Health Insurance?

How soon might we seriously consider universal healthcare coverage in the United States? I'm convinced we're approaching that point since this can't continue.

I'm not suggesting government-run medicine. I'm advocating that our already existing Medicare system – an established insurance framework – simply expand to cover everyone. Our infrastructure doesn't change. The way medical professionals get paid changes. Trust me, they will adjust.

How National Health Insurance Would Work

A national health insurance program would need payments from both employees and employers. In comparable systems, an employee earning average wages pays about 5.3% to their healthcare. Their employer must contribute about 13.75%.

Does this seem expensive? Not if you compare it to what average US resident spends. I know dozens of clients that are easily contributing anywhere from 8% to 15% of payroll costs for medical benefits. And keep in mind that in comprehensive systems, those payments include pension plans, sick pay, parental benefits and job loss protection in addition to funding healthcare facilities. When you add these expenses versus our current spending for our retirement plans, job loss coverage and paid time off, the difference decreases.

Implementation for America

In the US, universal healthcare funding would raise our Medicare tax deduction, a system already established. It should be income-adjusted – those at higher income levels would contribute higher amounts than lower-income earners. There would be both an employee and company payments. And, like many our government's military, technology, welfare services and transportation services, the system could be managed by private contractors rather than federal agencies.

Benefits for Entrepreneurs

Universal healthcare coverage would be a significant advantage for small businesses such as my company. It would place us on a level playing field with our larger competitors who can afford better plans. It would render administration much easier (a payroll deduction remitted like retirement and Medicare taxes, instead of individual transactions to benefit firms and coverage administrators).

It would enable it easier to plan expenses annual expenditures, instead of enduring the complicated (and ineffective) process of bargaining with the big insurance providers that we must do each year. Because it's simplified, there would exist a better understanding about benefits among workers – as opposed to the current system which require them to decipher the complications of current options. Additionally there would certainly be less liability for employers since we wouldn't would be privy to our employees' medical records for purposes of risk assessment and different options.

Free-Market Viewpoint

I'm as pro-market as they get. But I've learned that public institutions play important functions in society, from providing defense to funding essential systems. Ensuring medical coverage for everyone through a national insurance system enhances our economy's infrastructure. It represents superior, simpler approach for small businesses which hire more than half of American employees and fund half of our GDP. It makes it possible for workers to be healthier, have better attendance and increase productivity.

Considering Challenges

Are there numerous factors I haven't covered? Certainly. Given rising medical expenses experienced recently, it's evident that current healthcare legislation is not working effectively. And I realize that we're not a compact European nation where big changes are easier to implement. However extending Medicare for all, even with the additional taxes that would be incurred, would still be a better and less expensive approach for not only controlling healthcare costs but providing access to everyone.

Need for Honest Assessment

As Americans, must tone down our own arrogance. America's medical care isn't exceptional. The US places well below numerous nations in healthcare quality in the world, according to comprehensive research. Perhaps a positive aspect amid current situation could be that we undertake serious examination at ourselves and agree that big changes need to happen.

Jeff Wright
Jeff Wright

Elara is a passionate writer and environmental advocate, sharing her journey towards a balanced and eco-friendly life.