I'm a Dedicated Free-Market Advocate, But Universal Medicare Represents the Top Solution for US Healthcare

Deductibles. In-network. Non-preferred providers. Premium health services. Out-of-pocket expenses. Co-payment. Shared insurance. Insurance consultants. Coverage agents. Medical advisors. ACA. HMO. PPO. EPO. POS. High Deductible Health Plan. Health Savings Account. FSA. HRA. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Individual coverage. Dependent coverage. Premium tax credits.

Confused? It's understandable. Who understands all this stuff? Certainly not the average entrepreneur. Neither the average employee. Choosing the appropriate healthcare insurance for companies – or for households – appears to require it requires a PhD in medical insurance.

Our Medical System Is More Than Complex, It Is Costly

According to recent research, the average family spends $27,000 each year for their health insurance (increasing by 6% from last year). The average 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 has ceased functioning because political disagreements regarding subsidies which analysts predict will lead to premium increases up to 100% for millions of Americans.

When Will We Seriously Consider Universal Healthcare?

When will we seriously consider a national health insurance program here in America? I'm convinced we're approaching that point because this can't continue.

I'm not suggesting government-run medicine. I'm proposing for our current Medicare system – an insurance system – merely extend to include all citizens. The existing system remains intact. How our healthcare providers get paid changes. Trust me, they will adjust.

The Way Universal Coverage Would Work

Universal healthcare coverage would need payments from both employees and employers. In similar programs, a worker making average wages pays about five point three percent to their healthcare. The company pays about thirteen point seventy-five percent.

Does this seem expensive? Not if you contrast that with what the typical US resident spends. I can name dozens of businesses who are routinely paying anywhere from 8% to 15% of their employee wages for medical benefits. And keep in mind that with inclusive programs, those payments include pension plans, illness coverage, maternity leave and job loss protection in addition to funding healthcare facilities. When including these expenses compared with what we pay on retirement programs, unemployment insurance and paid time off, the difference decreases.

Implementation in the US

For America, universal healthcare funding would increase our Medicare tax deduction, a framework already established. It should be means-based – wealthier individuals would pay more than those earning less. This includes both an employee and employer contribution. Similar to many federal defense, technology, welfare services and transportation services, the system should be outsourced by private contractors instead of federal agencies.

Benefits for Entrepreneurs

Universal healthcare coverage would be a huge benefit for small businesses such as my company. It would put small companies in equal competition against big corporations who can afford better plans. It would make administration significantly simpler (automatic payroll withholding processed similarly to social security and Medicare taxes, instead of separate payments to benefit firms and coverage administrators).

It would enable simpler to plan expenses our yearly costs, instead of going through the complicated (and fruitless) theater of bargaining with the big insurance providers required annually every year. Due to simplification, there would be improved comprehension of coverage among workers – contrasted with existing arrangements which require them to interpret the complexities of current options. Additionally there would certainly be less liability for companies as we no longer have access to our employees' medical records for weighing risks and alternative plans.

Capitalist Perspective

I'm as capitalist as they get. However I recognize that government has a significant role in our lives, including national security to supporting needed infrastructure. Ensuring medical coverage for everyone via universal healthcare strengthens economic foundations. It's a better, simpler approach for small businesses which hire more than half of the country's workers and fund half the economic output. It enables for workers to enjoy better health, come to work more often and increase productivity.

Addressing Concerns

Are there a million considerations I haven't covered? Of course there are. Given all the healthcare cost increases experienced recently, it's clear that the Affordable Care Act is not working very well. And I realize that America isn't a small, Scandinavian country where major reforms can be readily adopted. But expanding Medicare for all, despite increased taxation required, would still be a superior and more affordable approach for not only controlling healthcare costs and ensuring coverage to everyone.

Need for Realistic Evaluation

As Americans, we need to reduce national pride. Our healthcare system isn't so great. The US places well below numerous nations in healthcare quality in the world, according to major studies. Perhaps a bright spot in this present circumstances is that we undertake a hard look in the mirror and acknowledge that major reforms need to happen.

Ian Russo
Ian Russo

Elara Vance is an interior design consultant with over a decade of experience specializing in contemporary home aesthetics and sustainable decor solutions.