As a Committed Capitalist, But Universal Medicare Is the Top Solution for American Healthcare

Out-of-pocket costs. Preferred providers. Out-of-network. Concierge medical services. Out-of-pocket expenses. Fixed payment. Co-insurance. Benefit advisers. Insurance brokers. Medical advisors. ACA. HMO. Preferred Provider Organization. EPO. POS. HDHP. HSA. FSA. HRA. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. Small Business Health Options Program. Individual coverage. Family coverage. Premium tax credits.

Baffled? It's understandable. Who comprehends all this stuff? Not the typical business owner. Neither the average worker. Selecting the right healthcare insurance for our business – or for households – seems like demands a PhD in medical insurance.

The Healthcare System Is More Than Complicated, It's Costly

Based on recent research, typical households pays $twenty-seven thousand annually on medical coverage (up 6% compared to last year). Typical employer health insurance cost is projected to surpass $seventeen thousand per employee by 2026, a 9.5% jump compared to 2025.

Now the government has ceased functioning because political disagreements regarding tax credits which analysts predict will lead to premium increases up to 100% for millions of Americans.

When Will We Seriously Consider National Health Insurance?

When will we seriously consider universal healthcare coverage here in America? I'm convinced we're approaching that point because this situation is unsustainable.

I'm not suggesting government-run medicine. I'm proposing that our already existing Medicare program – an established insurance framework – simply expand to cover everyone. Our infrastructure remains intact. The way medical professionals get paid changes. Believe me, they will adjust.

How National Health Insurance Could Function

Universal healthcare coverage would need contributions from both employees and employers. In similar programs, an employee earning moderate income pays approximately five point three percent to their healthcare. Their employer pays about thirteen point seventy-five percent.

Does this appear like a lot? Not if you contrast it to what the typical American pays. I can name multiple businesses who are routinely paying between eight to fifteen percent of their employee wages for medical benefits. And keep in mind that in comprehensive systems, these contributions include pension plans, sick pay, maternity leave and unemployment benefits in addition to funding medical services. When including these expenses versus what we pay on retirement programs, job loss coverage and vacation benefits, the gap narrows.

Execution in the US

In the US, a national health premium would increase existing Medicare taxes, a framework already established. It should be means-based – wealthier individuals would contribute higher amounts than those earning less. There would be both an employee and company payments. Similar to much of federal military, IT, welfare services and transportation services, the system 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 like mine. It would put 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 social security and healthcare taxes, instead of individual transactions to insurance companies and insurance providers).

It would make it easier for us to budget annual expenditures, rather than going through the complex (and ineffective) process of negotiating with the big insurance providers that we must do every year. Because it's simplified, there would be improved comprehension of coverage by our employees – contrasted with existing arrangements which require them to decipher the complications of existing plans. Additionally there would definitely exist reduced responsibility for employers as we no longer have access to workers' health histories for risk assessment and alternative plans.

Free-Market Viewpoint

I'm as pro-market as possible. However I recognize that government has a significant role in society, from providing defense to supporting essential systems. Providing healthcare to all through a national insurance system strengthens our economy's infrastructure. It represents superior, simpler approach for entrepreneurs that employ more than half of the country's workers and generate half the economic output. It enables for workers to enjoy better health, have better attendance and be more productive.

Addressing Concerns

Exist numerous factors I haven't covered? Certainly. Given all the healthcare cost increases experienced in recent years, it's clear 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 remain a better and more affordable approach both for controlling healthcare costs but providing access for all citizens.

Need for Realistic Evaluation

As Americans, we need to tone down national pride. Our healthcare system isn't so great. We rank significantly behind many other countries in healthcare quality in the world, according to major studies. Perhaps a positive aspect in this present circumstances could be that we undertake a hard look in the mirror and acknowledge that big changes are necessary.

Courtney Robinson
Courtney Robinson

A former casino floor manager turned slot analyst, Mikael shares data-driven insights to help players make smarter betting decisions.