As a Dedicated Free-Market Advocate, Yet Universal Medicare Represents the Best Solution for American Health System

Out-of-pocket costs. In-network. Out-of-network. Premium health services. Personal healthcare costs. Co-payment. Co-insurance. Insurance consultants. Insurance brokers. Healthcare consultants. ACA. Health Maintenance Organization. Preferred Provider Organization. EPO. POS. HDHP. Health Savings Account. FSA. Health Reimbursement Arrangement. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Family coverage. Premium tax credits.

Confused? It's understandable. Who understands all this stuff? Not the typical business owner. Nor the typical worker. Choosing the right healthcare insurance for companies – or for our families – appears to require demands advanced expertise in healthcare.

The Healthcare System Is More Than Complicated, It's Costly

Based on a recent study, typical households pays $27,000 each year on medical coverage (increasing by 6% from last year). Typical employer health insurance cost is projected to surpass $seventeen thousand per employee in 2026, an increase of 9.5% from 2025.

Now the government has ceased functioning because partisan disputes over tax credits that experts say will lead to premium increases up to 100% for millions of Americans.

When Will We Truly Examine National Health Insurance?

When will we genuinely evaluate universal healthcare coverage in the United States? I have to believe we're getting closer since this situation is unsustainable.

I'm not suggesting government-run medicine. I'm advocating that our already existing Medicare program – an insurance system – merely extend to cover everyone. Our infrastructure remains intact. How medical professionals receive payment would change. Trust me, they will adjust.

How Universal Coverage Would Work

Universal healthcare coverage would need payments from employees and employers. In similar programs, a worker earning average wages pays approximately five point three percent to their healthcare. The company pays about thirteen point seventy-five percent.

Does this seem expensive? Not if you compare it to what average American pays. I can name dozens of clients who are routinely paying between 8% to 15% of their employee wages for medical benefits. And keep in mind that in inclusive programs, these contributions include retirement benefits, sick pay, parental benefits and job loss protection in addition to funding medical services. When including those costs compared with our current spending on retirement programs, job loss coverage and paid time off, the difference decreases.

Implementation for America

In the US, a national health premium would raise our Medicare tax deduction, a system already established. It should be means-based – those at higher income levels would contribute higher amounts than lower-income earners. This includes both an employee and company payments. Similar to much of our government's military, IT, social programs and transportation services, the program should be outsourced by private contractors rather than a government office.

Benefits for Small Businesses

A national health insurance program represents a huge benefit for entrepreneurs such as my company. It would place small companies in equal competition with our larger competitors that can pay for superior coverage. It would render administration significantly simpler (automatic payroll withholding remitted like social security and healthcare taxes, instead of separate payments to insurance companies and coverage administrators).

It would make it easier to plan expenses annual expenditures, rather than going through the complicated (and fruitless) process of bargaining with major insurers required annually each year. Because it's simplified, there would be improved comprehension of coverage by our employees – as opposed to the current system where they have to interpret the complexities of existing plans. And there would certainly be reduced responsibility for employers since we wouldn't would be privy to workers' medical records for purposes of weighing risks and alternative plans.

Free-Market Viewpoint

I'm as capitalist as they get. However I recognize that public institutions play important functions in society, including national security to supporting needed infrastructure. Providing healthcare for everyone via universal healthcare strengthens economic foundations. It represents superior, simpler approach for entrepreneurs which hire more than half of American employees and generate half of our GDP. It makes it possible for workers to enjoy better health, have better attendance and increase productivity.

Addressing Concerns

Are there a million considerations I'm not addressing? Certainly. But with all the healthcare cost increases experienced recently, it's evident that the Affordable Care Act is not working effectively. I understand that we're not a compact European nation where big changes can be readily adopted. However extending Medicare for all, despite the additional taxes required, would still be a superior and less expensive strategy both for managing medical expenses and ensuring coverage to everyone.

Need for Honest Assessment

As Americans, must tone down national pride. Our healthcare system isn't exceptional. We rank well below numerous nations in healthcare quality in the world, based on comprehensive research. Maybe one bright spot in this present circumstances could be that we undertake a hard look at ourselves and agree that big changes are necessary.

John Wiley
John Wiley

A tech enthusiast and gaming analyst with over a decade of experience in digital media and content creation.