As a Dedicated Free-Market Advocate, Yet Medicare for All Is the Best Solution for US Health System

Deductibles. Preferred providers. Out-of-network. Premium health services. Out-of-pocket expenses. Fixed payment. Co-insurance. Benefit advisers. Coverage agents. Medical advisors. Affordable Care Act. HMO. Preferred Provider Organization. EPO. Point of Service. High Deductible Health Plan. Health Savings Account. FSA. HRA. EOB. COBRA. Small Business Health Options Program. Individual coverage. Family coverage. Insurance subsidies.

Baffled? You should be. Who comprehends all this stuff? Certainly not the average business owner. Nor the typical worker. Choosing the appropriate healthcare insurance for our business – or for our families – appears to require it requires advanced expertise in healthcare.

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

According to a recent study, typical households pays $twenty-seven thousand annually for their health insurance (increasing by 6% from last year). The average company healthcare expense is expected to exceed $17,000 for each worker by 2026, a 9.5% jump compared to 2025.

Currently the government has ceased functioning because political disagreements regarding tax credits which analysts predict could cause a doubling of premiums for numerous US citizens.

When Will We Seriously Consider Universal Healthcare?

How soon might we genuinely evaluate universal healthcare coverage here in America? I'm convinced we're getting closer since this can't continue.

I'm not proposing national healthcare. I'm advocating that our already existing Medicare program – an established insurance framework – merely extend to include all citizens. The existing system doesn't change. How our healthcare providers receive payment would change. Believe me, they will adjust.

The Way National Health Insurance Would Work

A national health insurance program would need payments from employees and employers. In comparable systems, a worker making moderate income must contribute about 5.3% to their healthcare. Their employer must contribute about 13.75%.

Does this seem like a lot? Not if you contrast that with what average US resident spends. I know multiple businesses who are routinely paying between 8% to 15% of payroll costs for medical benefits. Remember that with inclusive programs, those payments also cover pension plans, sick pay, parental benefits and unemployment benefits in addition to funding medical services. When including these expenses versus our current spending for our retirement plans, unemployment insurance and vacation benefits, the difference decreases.

Execution in the US

For America, universal healthcare funding would increase existing Medicare taxes, a system already established. It should be income-adjusted – those at higher income levels would contribute higher amounts than those earning less. There would be both an employee and employer contribution. And, like much of our government's defense, technology, social programs and infrastructure, the system should be outsourced by private contractors instead of federal agencies.

Advantages for Small Businesses

Universal healthcare coverage represents a huge benefit for small businesses such as my company. It would place small companies in equal competition against big corporations who can afford better plans. It would render management significantly simpler (a payroll deduction processed similarly to social security and healthcare taxes, rather than separate payments to benefit firms and insurance providers).

It would enable simpler to plan expenses our yearly costs, rather than enduring the complicated (and fruitless) process of negotiating with major insurers that we must do every year. Due to simplification, there would exist a better understanding of coverage among workers – contrasted with the current system where they have to decipher the complexities of current options. Additionally there would definitely exist reduced responsibility for employers since we wouldn't would be privy to workers' medical records for weighing risks and different options.

Free-Market Viewpoint

I'm as capitalist as they get. However I recognize 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 strengthens economic foundations. It represents superior, simpler approach for entrepreneurs which hire the majority of American employees and generate half of our GDP. It makes it possible for workers to be healthier, have better attendance and be more productive.

Considering Challenges

Exist numerous factors I haven't covered? Certainly. Given all the healthcare cost increases experienced recently, it's clear that current healthcare legislation is not working effectively. And I realize that America isn't a small, Scandinavian country where big changes can be readily adopted. However extending universal Medicare, even with the additional taxes required, would still be a superior and less expensive strategy for not only controlling healthcare costs and ensuring coverage for all citizens.

Need for Realistic Evaluation

We as Americans, we need to tone down our own arrogance. Our healthcare system isn't so great. We rank well below many other countries with the best healthcare in the world, based on major studies. Maybe one bright spot in this current situation could be that we take serious examination in the mirror and acknowledge that big changes are necessary.

Benjamin Wright
Benjamin Wright

Lena is a tech journalist and gaming enthusiast with over a decade of experience reviewing hardware and software.