As a Committed Free-Market Advocate, Yet Universal Medicare Is the Best Hope for American Health System

Out-of-pocket costs. In-network. Non-preferred providers. Concierge medical services. Out-of-pocket expenses. Fixed payment. Shared insurance. Benefit advisers. Coverage agents. Medical advisors. ACA. HMO. Preferred Provider Organization. EPO. Point of Service. High Deductible Health Plan. Health Savings Account. Flexible Spending Account. HRA. EOB. Consolidated Omnibus Budget Reconciliation Act. Small Business Health Options Program. Individual coverage. Family coverage. Premium tax credits.

Confused? You should be. Who comprehends this complex system? Certainly not the average entrepreneur. Neither the average employee. Selecting the appropriate medical coverage for companies – or for our families – appears to require demands advanced expertise in medical insurance.

Our Healthcare System Isn't Just Complex, It Is Costly

According to recent research, the average family pays $27,000 each year on medical coverage (up 6% from last year). The average employer health insurance cost is projected to surpass $seventeen thousand for each worker in 2026, an increase of 9.5% compared to 2025.

Currently the government is shut down due to political disagreements over subsidies that experts say could cause a doubling of premiums for numerous US citizens.

When Will We Truly Examine National Health Insurance?

When will we genuinely evaluate universal healthcare coverage here in America? I have to believe we're approaching that point because this situation is unsustainable.

I'm not proposing national healthcare. I'm proposing for our current Medicare system – an insurance system – merely extend to cover everyone. The existing system remains intact. The way our healthcare providers get paid would change. Believe me, they'll adapt.

How Universal Coverage Would Work

Universal healthcare coverage would need contributions from employees and employers. In similar programs, an employee making moderate income must contribute about five point three percent toward medical coverage. The company must contribute approximately 13.75%.

Does this seem like a lot? Unless you compare it to what average US resident spends. I can name multiple businesses that are routinely paying between 8% to 15% of payroll costs to their healthcare costs. Remember that with comprehensive systems, these contributions also cover pension plans, sick pay, parental benefits and unemployment benefits along with funding healthcare facilities. When you add these expenses compared with our current spending on retirement programs, job loss coverage and vacation benefits, the difference decreases.

Execution for America

In the US, universal healthcare funding would raise our Medicare tax deduction, a system that is already in place. It should be means-based – those at higher income levels would contribute higher amounts than those earning less. There would be both an employee and company payments. And, like much of federal military, IT, welfare services and transportation services, the program should be outsourced to third-party administrators rather than federal agencies.

Advantages for Small Businesses

A national health insurance program represents a huge benefit for entrepreneurs like mine. It would put us on a level playing field against big corporations that can pay for better plans. It would render management significantly simpler (a payroll deduction remitted like social security and Medicare taxes, rather than individual transactions to benefit firms and coverage administrators).

It would make it easier to plan expenses our yearly costs, instead of enduring the complicated (and fruitless) process of negotiating with the big insurance providers that we must do each year. Due to simplification, there would exist a better understanding of coverage by our employees – contrasted with existing arrangements where they have to decipher the complications of current options. Additionally there would certainly be reduced responsibility for companies since we wouldn't would be privy to workers' medical records for purposes of risk assessment and different options.

Free-Market Viewpoint

I'm as pro-market as possible. But I've learned that government play important functions in our lives, from providing defense to supporting essential systems. Ensuring medical coverage for everyone through a national insurance system enhances our economy's infrastructure. It represents superior, easier system for entrepreneurs that employ the majority of the country's workers and fund half the economic output. It makes it possible for workers to be healthier, come to work more often and increase productivity.

Addressing Concerns

Are there numerous factors I haven't covered? Certainly. Given rising medical expenses experienced recently, it's evident that the Affordable Care Act is not working effectively. And I realize that we're not a small, Scandinavian country where big changes can be readily adopted. But expanding universal Medicare, despite the additional taxes that would be incurred, would remain a better and more affordable strategy both for managing medical expenses and ensuring coverage for all citizens.

Need for Realistic Evaluation

As Americans, we need to reduce our own arrogance. America's medical care isn't so great. The US places significantly behind many other countries with the best healthcare globally, according to major studies. Maybe one bright spot in this current situation is that we take serious examination at ourselves and acknowledge that big changes are necessary.

Anne Davis
Anne Davis

A tech analyst with over a decade of experience in digital transformation and emerging technologies, passionate about demystifying complex tech trends.