I'm a Hardcore Free-Market Advocate, But Universal Medicare Represents the Best Hope for US Healthcare

Deductibles. Preferred providers. Non-preferred providers. Premium health services. Personal healthcare costs. Fixed payment. Co-insurance. Benefit advisers. Coverage agents. Medical advisors. ACA. Health Maintenance Organization. Preferred Provider Organization. Exclusive Provider Organization. Point of Service. HDHP. Health Savings Account. Flexible Spending Account. Health Reimbursement Arrangement. EOB. COBRA. Small Business Health Options Program. Individual coverage. Dependent coverage. Premium tax credits.

Baffled? You should be. Who comprehends all this stuff? Certainly not the average business owner. Nor the typical employee. Choosing the appropriate medical coverage for companies – or for households – appears to require demands advanced expertise in medical insurance.

The Medical System Isn't Just Complicated, It Is Costly

According to a recent study, the average family spends $twenty-seven thousand annually for their health insurance (up 6% compared to last year). The average company healthcare expense is projected to exceed $17,000 for each worker by 2026, an increase of 9.5% from 2025.

Currently federal operations has ceased functioning because partisan disputes regarding tax credits that experts say could cause premium increases up to 100% for millions of Americans.

When Might We Truly Examine Universal Healthcare?

When will we seriously consider universal healthcare coverage here in America? I'm convinced we're approaching that point because this can't continue.

I'm not proposing national healthcare. I'm advocating that our already existing Medicare system – an established insurance framework – simply expand to include all citizens. The existing system remains intact. How our healthcare providers get paid would change. Trust me, they'll adapt.

How National Health Insurance Could Function

Universal healthcare coverage would require contributions from workers and companies. In comparable systems, an employee making average wages must contribute approximately five point three percent to their healthcare. The company pays about 13.75%.

Does this appear expensive? Unless you contrast it to what the typical US resident spends. I can name dozens of clients who are routinely paying between 8% to 15% of their employee wages to their healthcare costs. And keep in mind that in inclusive programs, these contributions include retirement benefits, illness coverage, maternity leave and job loss protection in addition to funding healthcare facilities. When you add these expenses versus what we pay for our retirement plans, job loss coverage and vacation benefits, the gap narrows.

Implementation for America

In the US, a national health premium would raise existing Medicare taxes, a framework already established. It should be means-based – wealthier individuals would pay more than those earning less. There would be both an employee and employer contribution. And, like many federal defense, IT, welfare services and infrastructure, the system should be outsourced by private contractors instead of federal agencies.

Advantages for Entrepreneurs

A national health insurance program would be a huge benefit for entrepreneurs such as my company. It would put small companies in equal competition against big corporations that can pay for superior coverage. It would make administration much easier (automatic payroll withholding remitted like social security and Medicare taxes, instead of separate payments to benefit firms and insurance providers).

It would make simpler for us to budget our yearly costs, instead of enduring the complicated (and fruitless) process of bargaining with the big insurance providers required annually each year. Because it's simplified, there would exist a better understanding of coverage by our employees – as opposed to existing arrangements which require them to decipher the complications of current options. Additionally there would definitely exist less liability for employers since we wouldn't would be privy to workers' medical records for weighing risks and alternative plans.

Free-Market Viewpoint

I'm as pro-market as possible. But I've learned that public institutions has a significant role in society, from providing defense to supporting essential systems. Ensuring medical coverage to all through a national insurance system enhances our economy's infrastructure. It's a better, easier system for entrepreneurs that employ more than half of American employees and fund half the economic output. It enables employees to be healthier, 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 the Affordable Care Act isn't functioning effectively. And I realize that America isn't a small, Scandinavian country where big changes can be readily adopted. However extending universal Medicare, even with increased taxation required, would remain a superior and more affordable approach for not only controlling healthcare costs but providing access for all citizens.

Time 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, based on major studies. Maybe one positive aspect in this present circumstances is that we take a hard look at ourselves and acknowledge that big changes are necessary.

Ashley Archer
Ashley Archer

Elara is a certified mixologist with over a decade of experience in craft cocktail creation and bar management.