As a Hardcore Free-Market Advocate, Yet Universal Medicare Is the Optimal Hope for US Health System
Out-of-pocket costs. Preferred providers. Non-preferred providers. Concierge medical services. Personal healthcare costs. Co-payment. Co-insurance. Benefit advisers. Coverage agents. Healthcare consultants. ACA. HMO. Preferred Provider Organization. EPO. POS. HDHP. HSA. FSA. Health Reimbursement Arrangement. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. Small Business Health Options Program. Individual coverage. Dependent coverage. Insurance subsidies.
Confused? It's understandable. Who comprehends all this stuff? Not the typical business owner. Nor the typical worker. Choosing the right medical coverage for companies – or for our families – appears to require demands advanced expertise in medical insurance.
Our Healthcare System Isn't Just Complicated, It Is Expensive
According to a recent study, the average family pays $twenty-seven thousand annually on medical coverage (up 6% from last year). Typical employer health insurance cost is projected to exceed $seventeen thousand per employee by 2026, a 9.5% jump from 2025.
Now the government has ceased functioning due to political disagreements over tax credits which analysts predict could cause a doubling of premiums for numerous US citizens.
When Will We Seriously Consider National Health Insurance?
When will we genuinely evaluate universal healthcare coverage here in America? I have to believe we're approaching that point because this situation is unsustainable.
I'm not proposing government-run medicine. I'm proposing that our already existing Medicare system – an established insurance framework – simply expand to include all citizens. The existing system remains intact. The way medical professionals receive payment changes. Trust me, they will adjust.
The Way Universal Coverage Would Work
Universal healthcare coverage would require payments from both employees and employers. In similar programs, a worker earning moderate income pays about 5.3% toward medical coverage. Their employer must contribute approximately 13.75%.
Does this appear expensive? Unless you compare that with what average US resident spends. I know multiple clients who are routinely paying between 8% to 15% of their employee wages for medical benefits. And keep in mind that in comprehensive systems, those payments include retirement benefits, sick pay, parental benefits and job loss protection along with funding healthcare facilities. When including those costs versus what we pay for our retirement plans, unemployment insurance and paid time off, the gap narrows.
Implementation in the US
In the US, universal healthcare funding would raise our Medicare tax deduction, a system that is already in place. It should be means-based – wealthier individuals would pay more than lower-income earners. There would be both an employee and company payments. And, like much of our government's military, technology, 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 entrepreneurs such as my company. It would place us on a level playing field against big corporations that can pay for better plans. It would render management significantly simpler (a payroll deduction remitted like social security and Medicare taxes, instead of separate payments to benefit firms and coverage administrators).
It would enable simpler for us to budget annual expenditures, rather than enduring the complex (and fruitless) theater of negotiating with the big insurance providers that we must do each year. Because it's simplified, there would exist improved comprehension about benefits by our employees – as opposed to the current system which require them to interpret the complications of current options. Additionally there would definitely exist reduced responsibility for companies as we no longer would be privy to workers' health histories for risk assessment and different options.
Free-Market Viewpoint
I'm as capitalist as possible. But I've learned that government has a significant role in society, from providing defense to supporting essential systems. Providing healthcare to all via universal healthcare strengthens economic foundations. It represents superior, easier system for entrepreneurs that employ more than half of American employees and fund half the economic output. It enables employees to be healthier, have better attendance and increase productivity.
Addressing Concerns
Exist numerous factors I'm not addressing? Of course there are. Given rising medical expenses experienced in recent years, it's clear that the Affordable Care Act is not working very well. I understand that America isn't a compact European nation where big changes are easier to implement. But expanding Medicare for all, even with the additional taxes that would be incurred, would remain a superior and less expensive strategy for not only managing medical expenses but providing access to everyone.
Time for Realistic Evaluation
We as Americans, we need to reduce national pride. Our healthcare system isn't exceptional. The US places well below many other countries with the best healthcare globally, according to comprehensive research. Maybe one bright spot in this present circumstances could be that we undertake serious examination at ourselves and agree that major reforms need to happen.