As a Hardcore Free-Market Advocate, But Universal Medicare Represents the Top Hope for American Healthcare

Deductibles. Preferred providers. Non-preferred providers. Premium health services. Personal healthcare costs. Co-payment. Shared insurance. Benefit advisers. Insurance brokers. Medical advisors. Affordable Care Act. HMO. Preferred Provider Organization. Exclusive Provider Organization. Point of Service. HDHP. Health Savings Account. Flexible Spending Account. Health Reimbursement Arrangement. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Family coverage. Premium tax credits.

Confused? It's understandable. Who understands all this stuff? Certainly not the average business owner. Neither the average employee. Choosing the right medical coverage for companies – or for our families – seems like demands advanced expertise in medical insurance.

Our Medical System Isn't Just Complex, It Is Expensive

Based on a recent study, the average family pays $twenty-seven thousand each year for their health insurance (increasing by 6% compared to last year). Typical employer health insurance cost is expected to surpass $17,000 per employee by 2026, a 9.5% jump compared to 2025.

Now the government is shut down because political disagreements over tax credits which analysts predict could cause premium increases up to 100% for numerous US citizens.

When Might We Truly Examine 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 proposing national healthcare. I'm proposing for our current Medicare program – an insurance system – simply expand to include all citizens. Our infrastructure remains intact. How medical professionals get paid changes. Believe me, they'll adapt.

How National Health Insurance Would Work

Universal healthcare coverage would require payments from both employees and employers. In similar programs, an employee earning average wages must contribute approximately five point three percent to their healthcare. The company pays about 13.75%.

Does this appear like a lot? Not if you compare that with what average US resident spends. I can name dozens of businesses who are routinely paying anywhere from eight to fifteen percent of payroll costs for medical benefits. Remember that in inclusive programs, those payments include pension plans, sick pay, parental benefits and unemployment benefits along with supporting medical services. When including those costs versus our current spending for our retirement plans, unemployment insurance and vacation benefits, the difference decreases.

Execution in the US

In the US, universal healthcare funding would raise existing Medicare taxes, a framework already established. It ought to be means-based – those at higher income levels would contribute higher amounts than lower-income earners. This includes both worker and company payments. And, like many federal military, technology, social programs and infrastructure, the system should be outsourced by private contractors rather than a government office.

Advantages for Entrepreneurs

A national health insurance program would be a significant advantage for small businesses such as my company. It would put small companies in equal competition with our larger competitors who can afford better plans. It would make administration much easier (a payroll deduction remitted like social security and Medicare taxes, rather than separate payments to benefit firms and coverage administrators).

It would make it easier for us to budget annual expenditures, instead of going through the complex (and fruitless) theater of bargaining 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 the current system where they have to interpret the complexities of existing plans. And there would definitely exist reduced responsibility for employers since we wouldn't have access to our employees' medical records for purposes of risk assessment and alternative plans.

Free-Market Viewpoint

I'm as capitalist as they get. But I've learned that government has a significant role in society, from providing defense to funding essential systems. Providing healthcare for everyone through a national insurance system enhances economic foundations. It represents superior, easier system for entrepreneurs that employ more than half of American employees and fund half of our GDP. It makes it possible employees to be healthier, have better attendance and increase productivity.

Considering Challenges

Exist numerous factors I'm not addressing? Certainly. Given all the healthcare cost increases experienced in recent years, it's clear that current healthcare legislation is not working very well. I understand that America isn't a compact European nation where big changes are easier to implement. But expanding universal Medicare, despite increased taxation required, would remain a superior and less expensive approach both for managing medical expenses but providing access for all citizens.

Need for Honest Assessment

As Americans, must tone down national pride. America's medical care isn't exceptional. We rank significantly behind numerous nations with the best healthcare globally, according to comprehensive research. Perhaps a bright spot amid current situation could be that we take serious examination at ourselves and agree that big changes are necessary.

Brianna Whitaker
Brianna Whitaker

Elara is a seasoned leadership consultant with over a decade of experience in guiding businesses toward peak performance and innovation.