🔗 Share this article As a Hardcore Free-Market Advocate, Yet Universal Medicare Is the Optimal Hope for American Health System Deductibles. In-network. Out-of-network. Concierge medical services. Personal healthcare costs. Co-payment. Shared insurance. Benefit advisers. Coverage agents. Healthcare consultants. ACA. HMO. PPO. Exclusive Provider Organization. POS. HDHP. HSA. Flexible Spending Account. HRA. EOB. COBRA. SHOP. Single coverage. Family coverage. Premium tax credits. Baffled? You should be. Who comprehends this complex system? Certainly not the average business owner. Nor the typical worker. Choosing the appropriate healthcare insurance for companies – or for households – appears to require it requires advanced expertise in medical insurance. Our Healthcare System Is More Than Complicated, It's Expensive According to recent research, typical households pays $27,000 each year on medical coverage (increasing by 6% from last year). Typical employer health insurance cost is projected to surpass $seventeen thousand for each worker by 2026, an increase of 9.5% compared to 2025. Now federal operations is shut down due to partisan disputes over subsidies that experts say will lead to premium increases up to 100% for millions of Americans. When Will We Seriously Consider Universal Healthcare? How soon might we seriously consider a national health insurance program here in America? I'm convinced we're getting closer because this situation is unsustainable. I'm not suggesting national healthcare. I'm advocating for our current Medicare system – an insurance system – simply expand to include all citizens. The existing system doesn't change. The way medical professionals get paid changes. Believe me, they will adjust. The Way National Health Insurance Could Function Universal healthcare coverage would need payments from employees and employers. In similar programs, a worker earning moderate income pays about five point three percent to their healthcare. The company must contribute about 13.75%. Does this appear expensive? Not if you compare it to what average American pays. I know multiple businesses who are routinely paying anywhere from eight to fifteen percent of payroll costs for medical benefits. And keep in mind that in inclusive programs, those payments include pension plans, illness coverage, maternity leave and unemployment benefits along with funding medical services. When including those costs compared with what we pay on retirement programs, job loss coverage and paid time off, the difference decreases. Execution in the US For America, universal healthcare funding would increase existing Medicare taxes, a framework already established. It ought to be means-based – 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 military, technology, social programs and transportation services, the program could be managed to third-party administrators instead of a government office. Advantages for Entrepreneurs Universal healthcare coverage represents a huge benefit for entrepreneurs like mine. It would place small companies in equal competition against big corporations that can pay for better plans. It would make administration significantly simpler (automatic payroll withholding remitted like retirement and Medicare taxes, rather than individual transactions to insurance companies and insurance providers). It would make it easier to plan expenses our yearly costs, instead of enduring the complicated (and fruitless) process of bargaining with major insurers that we must do every year. Because it's simplified, there would be a better understanding about benefits among workers – contrasted with the current system which require them to interpret the complications of existing plans. Additionally there would certainly be reduced responsibility for companies since we wouldn't have access to our employees' health histories for purposes of weighing risks and different options. Capitalist Perspective I'm as pro-market as they get. However I recognize that government play important functions in society, from providing defense to funding needed infrastructure. Providing healthcare for everyone via universal healthcare strengthens economic foundations. It represents superior, easier system for small businesses that employ more than half of American employees and fund half the economic output. It makes it possible employees to be healthier, have better attendance and increase productivity. Addressing Concerns Exist a million considerations I haven't covered? Of course there are. Given rising medical expenses we've seen in recent years, it's clear that the Affordable Care Act is not working effectively. I understand that America isn't a small, Scandinavian country where big changes can be readily adopted. But expanding Medicare for all, despite the additional taxes that would be incurred, would still be a superior and more affordable strategy both for managing medical expenses and ensuring coverage to everyone. Time for Honest Assessment As Americans, we need to reduce our own arrogance. Our healthcare system isn't exceptional. We rank well below numerous nations in healthcare quality in the world, based on comprehensive research. Perhaps a positive aspect amid current situation could be that we undertake serious examination in the mirror and acknowledge that major reforms need to happen.