I'm a Committed Free-Market Advocate, Yet Universal Medicare Represents the Best Solution for US Health System
Out-of-pocket costs. In-network. Out-of-network. Concierge medical services. Out-of-pocket expenses. Co-payment. Shared insurance. Insurance consultants. Coverage agents. Medical advisors. Affordable Care Act. Health Maintenance Organization. Preferred Provider Organization. Exclusive Provider Organization. POS. High Deductible Health Plan. Health Savings Account. FSA. HRA. EOB. COBRA. Small Business Health Options Program. Individual coverage. Dependent coverage. Premium tax credits.
Baffled? It's understandable. Who comprehends this complex system? Not the typical business owner. Nor the typical worker. Choosing the appropriate healthcare insurance for companies – or for our families – appears to require it requires advanced expertise in medical insurance.
Our Healthcare System Is More Than Complex, It Is Expensive
Based on recent research, typical households pays $27,000 each year for their health insurance (up 6% compared to last year). Typical employer health insurance cost is expected to surpass $seventeen thousand for each worker by 2026, a 9.5% jump compared to 2025.
Now federal operations is shut down because partisan disputes over subsidies that experts say will lead to a doubling of premiums for numerous US citizens.
When Will We Seriously Consider Universal Healthcare?
When will we seriously consider universal healthcare coverage here in America? I'm convinced we're getting closer because this can't continue.
I'm not proposing national healthcare. I'm proposing for our current Medicare system – an insurance system – merely extend to include all citizens. The existing system doesn't change. The way medical professionals receive payment changes. Believe me, they'll adapt.
The Way Universal Coverage Could Function
A national health insurance program would need contributions from workers and companies. In similar programs, a worker making moderate income must contribute approximately five point three percent toward medical coverage. Their employer pays about 13.75%.
Does this appear like a lot? Unless you contrast that with what the typical American pays. I can name dozens of businesses that are easily contributing between eight to fifteen percent of payroll costs for medical benefits. Remember that with inclusive programs, these contributions include retirement benefits, sick pay, parental benefits and job loss protection along with supporting medical services. When including these expenses compared with our current spending on retirement programs, job loss coverage and vacation benefits, the gap narrows.
Execution in the US
In the US, universal healthcare funding would raise existing Medicare taxes, a system already established. It should be income-adjusted – those at higher income levels would pay more than those earning less. This includes both worker and employer contribution. Similar to much of our government's defense, IT, welfare services and transportation services, the program should be outsourced to third-party administrators rather than a government office.
Benefits for Small Businesses
Universal healthcare coverage would be a huge benefit for small businesses like mine. It would put small companies in equal competition against big corporations that can pay for better plans. It would make management significantly simpler (a payroll deduction remitted like social security and Medicare taxes, rather than individual transactions to benefit firms and insurance providers).
It would enable it easier to plan expenses our yearly costs, instead of going through the complex (and ineffective) process of negotiating with major insurers that we must do every year. Due to simplification, there would be improved comprehension about benefits among workers – as opposed to the current system where they have to interpret the complications of current options. Additionally there would definitely exist less liability for companies since we wouldn't would be privy to workers' medical records for risk assessment and alternative plans.
Capitalist Perspective
I'm as capitalist as possible. But I've learned that government play important functions in our lives, including national security to supporting needed infrastructure. Providing healthcare to all through a national insurance system enhances our economy's infrastructure. It's a better, simpler approach for entrepreneurs which hire more than half of American employees and generate half of our GDP. It makes it possible for workers to be healthier, come to work more often and be more productive.
Considering Challenges
Exist numerous factors I'm not addressing? Certainly. Given all the healthcare cost increases experienced recently, it's clear that the Affordable Care Act is not working effectively. And I realize that America isn't a small, Scandinavian country where major reforms are easier to implement. However extending universal Medicare, even with increased taxation that would be incurred, would remain a superior and more affordable approach for not only managing medical expenses and ensuring coverage to everyone.
Need for Realistic Evaluation
As Americans, we need to reduce our own arrogance. America's medical care isn't so great. The US places significantly behind numerous nations with the best healthcare globally, according to comprehensive research. Perhaps a bright spot in this current situation could be that we take serious examination at ourselves and agree that major reforms are necessary.