As a Hardcore Capitalist, Yet Universal Medicare Represents the Best Hope for American Health System
Out-of-pocket costs. Preferred providers. Out-of-network. Premium health services. Personal healthcare costs. Fixed payment. Co-insurance. Insurance consultants. Coverage agents. Healthcare consultants. ACA. HMO. Preferred Provider Organization. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. Health Savings Account. FSA. HRA. Explanation of Benefits. COBRA. SHOP. Individual coverage. Family coverage. Insurance subsidies.
Baffled? You should be. Who understands this complex system? Not the typical business owner. Nor the typical worker. Choosing the right healthcare insurance for our business – or for our families – seems like it requires advanced expertise in healthcare.
The Medical System Isn't Just Complex, It's Expensive
According to a recent study, the average family pays $twenty-seven thousand annually on medical coverage (increasing by 6% from last year). Typical employer health insurance cost is projected to exceed $17,000 per employee in 2026, an increase of 9.5% from 2025.
Now the government has ceased functioning because political disagreements regarding subsidies which analysts predict will lead to premium increases up to 100% for numerous US citizens.
When Will We Seriously Consider Universal Healthcare?
How soon might we genuinely evaluate universal healthcare coverage here in America? I'm convinced we're approaching that point since this can't continue.
I'm not proposing government-run medicine. I'm advocating for our current Medicare system – an insurance system – simply expand to cover everyone. The existing system remains intact. How medical professionals get paid changes. Trust me, they'll adapt.
How Universal Coverage Could Function
Universal healthcare coverage would require payments from employees and employers. In similar programs, an employee earning average wages pays about five point three percent toward medical coverage. The company must contribute approximately 13.75%.
Does this appear like a lot? Unless you contrast that with what the typical US resident spends. I can name multiple clients that are easily contributing between eight to fifteen percent of their employee wages for medical benefits. And keep in mind that in inclusive programs, those payments include retirement benefits, sick pay, parental benefits and unemployment benefits in addition to funding healthcare facilities. When you add these expenses compared with what we pay for our retirement plans, unemployment insurance and paid time off, the gap narrows.
Execution in the US
In the US, universal healthcare funding would raise our Medicare tax deduction, a framework already established. It ought to be means-based – those at higher income levels would pay more than lower-income earners. There would be both worker and employer contribution. Similar to many our government's defense, technology, welfare services and transportation services, the system could be managed by private contractors instead of a government office.
Advantages for Small Businesses
Universal healthcare coverage would be a significant advantage for entrepreneurs like mine. It would place small companies in equal competition against big corporations that can pay for superior coverage. It would make management significantly simpler (a payroll deduction remitted like retirement and Medicare taxes, rather than individual transactions to benefit firms and coverage administrators).
It would make it easier to plan expenses our yearly costs, rather than going through the complicated (and ineffective) process of negotiating with the big insurance providers that we must do every year. Due to simplification, there would be a better understanding about benefits among workers – contrasted with existing arrangements where they have to interpret the complications of existing plans. Additionally there would definitely exist less liability for employers as we no longer have access to our employees' medical records for purposes of weighing risks and alternative plans.
Capitalist Perspective
I'm as capitalist as they get. But I've learned that public institutions has a significant role in society, from providing defense to supporting essential systems. Providing healthcare to all via universal healthcare enhances economic foundations. It represents superior, easier system for entrepreneurs which hire the majority of the country's workers and fund half of our GDP. It enables for workers to enjoy better health, come to work more often and be more productive.
Considering Challenges
Exist a million considerations I'm not addressing? Of course there are. Given all the healthcare cost increases experienced in recent years, it's clear that current healthcare legislation isn't functioning very well. And I realize that we're not a small, Scandinavian country where big changes can be readily adopted. However extending Medicare for all, despite the additional taxes that would be incurred, would remain a better and more affordable approach for not only managing medical expenses and ensuring coverage to everyone.
Need for Realistic Evaluation
We as Americans, we need to tone down our own arrogance. America's medical care isn't exceptional. The US places well below many other countries with the best healthcare globally, according to comprehensive research. Maybe one positive aspect in this present circumstances is that we take serious examination in the mirror and agree that major reforms are necessary.