As a Committed Capitalist, Yet Universal Medicare Represents the Best Hope for American Healthcare

Out-of-pocket costs. In-network. Out-of-network. Concierge medical services. Out-of-pocket expenses. Co-payment. Co-insurance. Insurance consultants. Coverage agents. Medical advisors. ACA. HMO. Preferred Provider Organization. EPO. POS. High Deductible Health Plan. Health Savings Account. FSA. Health Reimbursement Arrangement. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Dependent coverage. Insurance subsidies.

Confused? It's understandable. Who understands all this stuff? Not the typical business owner. Neither the average employee. Selecting the appropriate healthcare insurance for our business – or for our families – appears to require it requires advanced expertise in healthcare.

Our Medical System Is More Than Complicated, It's Costly

According to recent research, the average family pays $twenty-seven thousand annually on medical coverage (increasing by 6% compared to last year). The average company healthcare expense is projected to surpass $seventeen thousand per employee by 2026, a 9.5% jump compared to 2025.

Now federal operations has ceased functioning because partisan disputes over subsidies which analysts predict will lead to a doubling of premiums for millions of Americans.

When Will We Truly Examine National Health Insurance?

When will we seriously consider universal healthcare coverage in the United States? I'm convinced we're approaching that point because this can't continue.

I'm not suggesting national healthcare. I'm advocating for our current Medicare program – an insurance system – merely extend to include all citizens. The existing system doesn't change. How medical professionals 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 earning average wages must contribute about five point three percent toward medical coverage. Their employer pays about 13.75%.

Does this appear expensive? Unless you compare it to what the typical US resident spends. I can name multiple clients that are easily contributing anywhere from 8% to 15% of payroll costs for medical benefits. And keep in mind that with inclusive programs, those payments include retirement benefits, sick pay, maternity leave and job loss protection along with funding healthcare facilities. When including these expenses versus what we pay for our retirement plans, job loss coverage and paid time off, the gap narrows.

Implementation in the US

In the US, universal healthcare funding would raise our Medicare tax deduction, a system that is already in place. It should be means-based – wealthier individuals would pay more than those earning less. There would be both an employee and employer contribution. Similar to much of federal military, technology, social programs and infrastructure, the program could be managed by private contractors instead of federal agencies.

Advantages for Small Businesses

Universal healthcare coverage represents a significant advantage for entrepreneurs such as my company. It would put us on a level playing field against big corporations that can pay for better plans. It would render management much easier (a payroll deduction processed similarly to retirement and healthcare taxes, instead of separate payments to benefit firms and insurance providers).

It would make it easier for us to budget annual expenditures, rather than enduring the complicated (and ineffective) theater of negotiating with the big insurance providers that we must do every year. Due to simplification, there would be improved comprehension about benefits by our employees – contrasted with existing arrangements which require them to decipher the complications of existing plans. Additionally there would certainly be less liability for employers as we no longer have access to our employees' health histories for purposes of weighing risks and alternative plans.

Capitalist Perspective

I'm as capitalist as possible. However I recognize that public institutions has a significant role in society, from providing defense to supporting needed infrastructure. Providing healthcare for everyone via universal healthcare enhances economic foundations. It's a better, simpler approach for entrepreneurs that employ more than half of American employees and generate half the economic output. It enables for workers to enjoy better health, have better attendance and be more productive.

Addressing Concerns

Exist a million considerations I haven't covered? Of course there are. Given all the healthcare cost increases experienced recently, it's clear that current healthcare legislation isn't functioning effectively. I understand that we're not a small, Scandinavian country where big changes are easier to implement. But expanding universal Medicare, even with increased taxation required, would still be a superior and more affordable strategy both for controlling healthcare costs but providing access for all citizens.

Time for Honest Assessment

As Americans, must tone down our own arrogance. America's medical care isn't exceptional. The US places well below many other countries with the best healthcare in the world, based on major studies. Maybe one positive aspect amid current situation is that we take serious examination at ourselves and agree that big changes need to happen.

Michelle Woodard
Michelle Woodard

A software engineer and retro computing enthusiast who restores vintage computers and writes about their historical significance.