I'm a Hardcore Free-Market Advocate, Yet Universal Medicare Is the Optimal Hope for American Healthcare

Deductibles. In-network. Out-of-network. Premium health services. Out-of-pocket expenses. Co-payment. Shared insurance. Benefit advisers. Insurance brokers. Medical advisors. ACA. HMO. PPO. EPO. Point of Service. HDHP. Health Savings Account. FSA. HRA. Explanation of Benefits. COBRA. Small Business Health Options Program. Individual coverage. Dependent coverage. Insurance subsidies.

Baffled? It's understandable. Who understands this complex system? Certainly not the average business owner. Neither the average worker. Selecting the appropriate medical coverage for companies – or for households – appears to require demands a PhD in medical insurance.

The Medical System Isn't Just Complex, It's Expensive

Based on a recent study, typical households spends $twenty-seven thousand annually for their health insurance (increasing by 6% compared to last year). Typical company healthcare expense is projected to exceed $seventeen thousand for each worker by 2026, a 9.5% jump from 2025.

Currently the government is shut down because political disagreements regarding subsidies which analysts predict will lead to premium increases up to 100% for millions of Americans.

When Might We Seriously Consider Universal Healthcare?

How soon might we genuinely evaluate a national health insurance program in the United States? I'm convinced we're approaching that point because this situation is unsustainable.

I'm not suggesting government-run medicine. I'm advocating that our already existing Medicare system – an insurance system – simply expand to include all citizens. Our infrastructure doesn't change. The way medical professionals get paid changes. Trust me, they'll adapt.

How National Health Insurance Could Function

Universal healthcare coverage would require payments from both employees and employers. In comparable systems, a worker making average wages pays approximately five point three percent toward medical coverage. Their employer pays approximately 13.75%.

Does this appear like a lot? Unless you compare it to what the typical US resident spends. I can name dozens of clients who are routinely paying anywhere from eight to fifteen percent of their employee wages for medical benefits. And keep in mind that in comprehensive systems, those payments include pension plans, illness coverage, parental benefits and unemployment benefits along with funding healthcare facilities. When including these expenses compared with what we pay on retirement programs, job loss coverage and vacation benefits, the difference decreases.

Execution for America

For America, universal healthcare funding would increase our Medicare tax deduction, a framework 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 employer contribution. Similar to many federal defense, IT, social programs and transportation services, the program could be managed to third-party administrators rather than federal agencies.

Advantages for Small Businesses

Universal healthcare coverage represents a huge benefit for entrepreneurs such as my company. It would place small companies in equal competition against big corporations that can pay for superior coverage. It would render management much easier (a payroll deduction remitted like social security and healthcare taxes, rather than separate payments to benefit firms and coverage administrators).

It would make simpler for us to budget our yearly costs, rather than enduring the complex (and ineffective) theater of bargaining with major insurers that we must do every year. Because it's simplified, there would be improved comprehension about benefits among workers – as opposed to the current system where they have to decipher the complications of existing plans. Additionally there would definitely exist less liability for companies as we no longer have access to our employees' medical records for weighing risks and different options.

Free-Market Viewpoint

I'm as pro-market as they get. But I've learned that government play important functions in our lives, including national security to supporting essential systems. Ensuring medical coverage for everyone through a national insurance system strengthens our economy's infrastructure. It's a better, easier system for entrepreneurs that employ the majority of American employees and generate half of our GDP. It enables for workers to be healthier, come to work more often and increase productivity.

Addressing Concerns

Exist numerous factors I haven't covered? Of course there are. Given all the healthcare cost increases we've seen in recent years, it's clear that current healthcare legislation isn't functioning effectively. And I realize that America isn't a compact European nation where major reforms are easier to implement. However extending universal Medicare, despite increased taxation required, would still be a superior and less expensive approach for not only controlling healthcare costs but providing access to everyone.

Time for Honest Assessment

As Americans, must reduce our own arrogance. Our healthcare system isn't exceptional. The US places significantly behind numerous nations with the best healthcare globally, according to comprehensive research. Perhaps a bright spot in this present circumstances could be that we take a hard look in the mirror and acknowledge that big changes need to happen.

Joseph Miller
Joseph Miller

A wellness coach and writer passionate about integrating mindfulness into modern lifestyles.