As a Dedicated Capitalist, Yet Universal Medicare Is the Top Hope for American Healthcare
Deductibles. Preferred providers. Non-preferred providers. Premium health services. Personal healthcare costs. Fixed payment. Shared insurance. Benefit advisers. Insurance brokers. Medical advisors. ACA. Health Maintenance Organization. PPO. Exclusive Provider Organization. POS. HDHP. Health Savings Account. FSA. HRA. Explanation of Benefits. COBRA. SHOP. Single coverage. Family coverage. Insurance subsidies.
Confused? You should be. Who comprehends this complex system? Certainly not the average business owner. Neither the average employee. Selecting the appropriate medical coverage for companies – or for our families – appears to require it requires a PhD in healthcare.
The Medical System Is More Than Complicated, It Is Costly
According to recent research, typical households spends $27,000 each year on medical coverage (increasing by 6% from last year). The average employer health insurance cost is projected to exceed $seventeen thousand per employee by 2026, a 9.5% jump compared to 2025.
Currently federal operations is shut down due to partisan disputes over subsidies which analysts predict could cause premium increases up to 100% for numerous US citizens.
When Will We Truly Examine National Health Insurance?
When will we genuinely evaluate universal healthcare coverage in the United States? 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 program – an insurance system – simply expand to include all citizens. Our infrastructure remains intact. The way medical professionals receive payment would change. Believe me, they will adjust.
The Way Universal Coverage Would Work
A national health insurance program would need payments from workers and companies. In similar programs, a worker earning moderate income pays approximately 5.3% toward medical coverage. The company must contribute about 13.75%.
Does this appear like a lot? Not if you contrast that with what the typical US resident spends. I can name dozens of businesses who are easily contributing anywhere from 8% to 15% of their employee wages for medical benefits. Remember that in inclusive programs, these contributions include pension plans, sick pay, maternity leave and job loss protection along with funding medical services. When including these expenses compared with what we pay for our retirement plans, unemployment insurance and paid time off, the gap narrows.
Execution for America
For America, universal healthcare funding would raise existing Medicare taxes, a system that is already in place. It ought to be income-adjusted – wealthier individuals would pay more than those earning less. There would be both worker and company payments. Similar to much of our government's military, technology, welfare services and infrastructure, the system should be outsourced by private contractors instead of a government office.
Benefits for Small Businesses
Universal healthcare coverage would be a significant advantage for small businesses such as my company. It would put us on a level playing field against big corporations who can afford superior coverage. It would make management significantly simpler (automatic payroll withholding processed similarly to social security and healthcare taxes, rather than individual transactions to benefit firms and coverage administrators).
It would enable simpler for us to budget our yearly costs, instead of enduring the complex (and ineffective) theater of bargaining with major insurers required annually every year. Because it's simplified, there would be a better understanding about benefits by our employees – contrasted with the current system which require them to decipher the complications of existing plans. Additionally there would certainly be less liability for employers as we no longer would be privy to our employees' health histories for weighing risks and different options.
Capitalist Perspective
I'm as pro-market as they get. But I've learned that government play important functions in society, including national security to funding needed infrastructure. Ensuring medical coverage to all through a national insurance system enhances economic foundations. It's a better, simpler approach for small businesses 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 increase productivity.
Considering Challenges
Are there numerous factors I haven't covered? Certainly. Given rising medical expenses experienced in recent years, it's clear that the Affordable Care Act isn't functioning effectively. And I realize that America isn't a small, Scandinavian country where big changes can be readily adopted. However extending Medicare for all, despite the additional taxes that would be incurred, would still be a better and less expensive approach both for controlling healthcare costs and ensuring coverage for all citizens.
Need for Honest Assessment
We as Americans, must reduce our own arrogance. America's medical care isn't so great. We rank well below numerous nations in healthcare quality globally, based on major studies. Maybe one bright spot in this current situation could be that we take a hard look in the mirror and acknowledge that major reforms are necessary.