As a Hardcore Capitalist, Yet Universal Medicare Represents the Best Solution for US Health System
Deductibles. Preferred providers. Non-preferred providers. Premium health services. Out-of-pocket expenses. Fixed payment. Shared insurance. Insurance consultants. Coverage agents. Medical advisors. ACA. HMO. Preferred Provider Organization. EPO. POS. HDHP. HSA. FSA. HRA. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Family coverage. Insurance subsidies.
Confused? It's understandable. Who understands this complex system? Certainly not the average business owner. Neither the average employee. Choosing the appropriate medical coverage for our business – or for our families – seems like it requires advanced expertise in medical insurance.
The Medical System Isn't Just Complex, It's Costly
According to a recent study, the average family spends $27,000 each year for their health insurance (increasing by 6% from last year). Typical company healthcare expense is projected to exceed $17,000 for each worker by 2026, an increase of 9.5% from 2025.
Now federal operations has ceased functioning due to political disagreements over tax credits which analysts predict will lead to a doubling of premiums for numerous US citizens.
When Might We Truly Examine Universal Healthcare?
When will we genuinely evaluate universal healthcare coverage here in America? I'm convinced we're approaching that point since this situation is unsustainable.
I'm not suggesting national healthcare. I'm advocating that our already existing Medicare system – an insurance system – simply expand to include all citizens. The existing system remains intact. The way our healthcare providers get paid would change. Believe me, they'll adapt.
The Way National Health Insurance Could Function
A national health insurance program would require payments from employees and employers. In similar programs, an employee making average wages pays approximately five point three percent toward medical coverage. The company must contribute approximately 13.75%.
Does this appear expensive? Unless you contrast it to what average US resident spends. I can name multiple clients who are routinely paying anywhere from eight to fifteen percent of their employee wages for medical benefits. And keep in mind that with inclusive programs, these contributions also cover pension plans, sick pay, parental benefits and unemployment benefits along with supporting healthcare facilities. When including those costs compared with our current spending for our retirement plans, job loss coverage and vacation benefits, the difference decreases.
Implementation in the US
For America, a national health premium would increase our Medicare tax deduction, a framework already established. It ought to be means-based – those at higher income levels would contribute higher amounts than lower-income earners. There would be both an employee and employer contribution. And, like much of federal defense, technology, welfare services and transportation services, the program could be managed to third-party administrators instead of a government office.
Benefits for Small Businesses
Universal healthcare coverage would be a huge benefit for entrepreneurs such as my company. It would place us on a level playing field against big corporations that can pay for better plans. It would make administration much easier (a payroll deduction remitted like retirement and Medicare taxes, rather than separate payments to benefit firms and insurance providers).
It would enable it easier to plan expenses annual expenditures, rather than going through the complicated (and ineffective) theater of bargaining with the big insurance providers required annually each year. Due to simplification, there would be improved comprehension about benefits by our employees – contrasted with existing arrangements which require them to interpret the complexities of existing plans. Additionally there would certainly be less liability for employers as we no longer would be privy to our employees' medical records for weighing risks and different options.
Free-Market Viewpoint
I'm as pro-market as possible. But I've learned that government has a significant role in society, including national security to funding needed infrastructure. Providing healthcare for everyone via universal healthcare strengthens our economy's infrastructure. It's a better, simpler approach for small businesses which hire more than half of the country's workers and fund half of our GDP. It enables for workers to enjoy better health, have better attendance and be more productive.
Considering Challenges
Exist a million considerations I haven't covered? Of course there are. Given rising medical expenses experienced in recent years, it's clear that current healthcare legislation isn't functioning effectively. And I realize that we're not a compact European nation where major reforms can be readily adopted. However extending universal Medicare, even with increased taxation required, would still be a superior and more affordable approach for not only managing medical expenses and ensuring coverage to everyone.
Need for Realistic Evaluation
As Americans, we need to tone down national pride. America's medical care isn't exceptional. The US places well below numerous nations in healthcare quality in the world, according to comprehensive research. Perhaps a positive aspect amid present circumstances is that we take serious examination at ourselves and agree that major reforms need to happen.