I'm a Hardcore Free-Market Advocate, But Medicare for All Is the Best Solution for American Health System
Deductibles. Preferred providers. Non-preferred providers. Premium health services. Out-of-pocket expenses. Co-payment. Co-insurance. Benefit advisers. Insurance brokers. Healthcare consultants. Affordable Care Act. Health Maintenance Organization. Preferred Provider Organization. Exclusive Provider Organization. POS. HDHP. HSA. Flexible Spending Account. HRA. EOB. COBRA. Small Business Health Options Program. Individual coverage. Dependent coverage. Insurance subsidies.
Baffled? You should be. Who comprehends this complex system? Not the typical entrepreneur. Neither the average employee. Selecting the right medical coverage for companies – or for our families – appears to require demands a PhD in healthcare.
The Medical System Isn't Just Complicated, It Is Costly
According to recent research, the average family spends $twenty-seven thousand each year for their health insurance (increasing by 6% from last year). Typical employer health insurance cost is projected to surpass $17,000 per employee in 2026, a 9.5% jump from 2025.
Currently federal operations has ceased functioning because partisan disputes regarding subsidies that experts say could cause premium increases up to 100% for numerous US citizens.
When Might We Seriously Consider Universal Healthcare?
How soon might we seriously consider universal healthcare coverage here in America? I have to believe we're getting closer since this situation is unsustainable.
I'm not proposing national healthcare. I'm proposing that our already existing Medicare program – an established insurance framework – merely extend to cover everyone. Our infrastructure doesn't change. The way medical professionals receive payment would change. Believe me, they'll adapt.
The Way Universal Coverage Would Work
Universal healthcare coverage would need contributions from workers and companies. In comparable systems, an employee making average wages pays about five point three percent 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 businesses who are easily contributing anywhere from eight to fifteen percent of their employee wages to their healthcare costs. And keep in mind that with inclusive programs, these contributions also cover pension plans, illness coverage, maternity leave and unemployment benefits along with supporting healthcare facilities. When you add these expenses versus what we pay for our retirement plans, job loss coverage and vacation benefits, the difference decreases.
Implementation for America
In the US, universal healthcare funding would raise our Medicare tax deduction, a framework that is already in place. It should be means-based – those at higher income levels would pay more than lower-income earners. This includes both worker and employer contribution. Similar to many federal defense, technology, social programs and infrastructure, the system could be managed to third-party administrators rather than federal agencies.
Advantages for Small Businesses
Universal healthcare coverage represents a huge benefit for small businesses such as my company. It would put small companies in equal competition with our larger competitors that can pay for superior coverage. It would render administration significantly simpler (automatic payroll withholding remitted like social security and Medicare taxes, rather than separate payments to benefit firms and insurance providers).
It would make simpler for us to budget our yearly costs, instead of going through the complicated (and ineffective) process of bargaining with major insurers required annually every year. Due to simplification, there would be improved comprehension of coverage among workers – as opposed to existing arrangements which require them to decipher the complications of existing plans. And there would certainly be less liability for employers since we wouldn't would be privy to our employees' medical records for risk assessment and different options.
Capitalist Perspective
I'm as pro-market as possible. But I've learned that government play important functions in our lives, from providing defense to supporting needed infrastructure. Ensuring medical coverage for everyone via universal healthcare strengthens our economy's infrastructure. It's a better, easier system for small businesses which hire the majority of American employees and generate half the economic output. It enables for workers to enjoy better health, come to work more often and be more productive.
Considering Challenges
Exist a million considerations I haven't covered? Of course there are. Given rising medical expenses experienced in recent years, it's evident that the Affordable Care Act is not working very well. I understand that we're not a compact European nation where major reforms can be readily adopted. But expanding universal Medicare, even with the additional taxes that would be incurred, would remain a better and more affordable strategy both for controlling healthcare costs and ensuring coverage to everyone.
Time for Realistic Evaluation
We as Americans, must reduce national pride. America's medical care isn't exceptional. The US places significantly behind many other countries in healthcare quality globally, based on major studies. Perhaps a positive aspect in this present circumstances is that we take a hard look at ourselves and agree that major reforms need to happen.