I'm a Committed Capitalist, But Universal Medicare Is the Optimal Hope for US Health System

Deductibles. In-network. Non-preferred providers. Concierge medical services. Out-of-pocket expenses. Co-payment. Co-insurance. Insurance consultants. Insurance brokers. Healthcare consultants. ACA. HMO. PPO. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. HSA. FSA. Health Reimbursement Arrangement. EOB. Consolidated Omnibus Budget Reconciliation Act. Small Business Health Options Program. Single coverage. Dependent coverage. Insurance subsidies.

Confused? It's understandable. Who understands this complex system? Certainly not the average entrepreneur. Neither the average employee. Selecting the appropriate healthcare insurance for companies – or for our families – seems like demands advanced expertise in healthcare.

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

Based on a recent study, the average family spends $twenty-seven thousand annually for their health insurance (increasing by 6% from last year). The average company healthcare expense is projected to exceed $seventeen thousand per employee by 2026, a 9.5% jump from 2025.

Now federal operations has ceased functioning because political disagreements regarding tax credits that experts say could cause premium increases up to 100% for numerous US citizens.

When Might We Truly Examine National Health Insurance?

How soon might we seriously consider a national health insurance program in the United States? I'm convinced we're getting closer since this situation is unsustainable.

I'm not proposing government-run medicine. I'm proposing for our current Medicare program – an insurance system – merely extend to cover everyone. The existing system remains intact. The way our healthcare providers receive payment changes. Believe me, they will adjust.

The Way Universal Coverage Would Work

A national health insurance program would require payments from both employees and employers. In similar programs, a worker making average wages pays about 5.3% to their healthcare. Their employer pays about thirteen point seventy-five percent.

Does this seem expensive? Not if you compare that with what the typical US resident spends. I can name dozens of businesses that are routinely paying anywhere from 8% to 15% of payroll costs to their healthcare costs. Remember that with inclusive programs, these contributions include pension plans, sick pay, parental benefits and job loss protection in addition to funding healthcare facilities. When you add those costs compared with our current spending on retirement programs, unemployment insurance and paid time off, the gap narrows.

Implementation for America

In the US, a national health premium would raise existing Medicare taxes, a framework already established. It ought to be income-adjusted – those at higher income levels would pay more than lower-income earners. There would be both worker and employer contribution. And, like many federal defense, technology, welfare services and infrastructure, the system should be outsourced by private contractors rather than federal agencies.

Advantages for Entrepreneurs

Universal healthcare coverage would be a huge benefit for small businesses such as my company. It would place us on a level playing field with our larger competitors who can afford superior coverage. It would make management significantly simpler (automatic payroll withholding remitted like social security and Medicare taxes, rather than individual transactions to benefit firms and insurance providers).

It would enable simpler for us to budget our yearly costs, rather than enduring the complicated (and ineffective) process of negotiating with the big insurance providers that we must do every year. Due to simplification, there would exist a better understanding about benefits among workers – as opposed to existing arrangements where they have to interpret the complexities of existing plans. And there would certainly be reduced responsibility for employers since we wouldn't have access to workers' health histories for purposes of risk assessment and alternative plans.

Free-Market Viewpoint

I'm as capitalist as they get. But I've learned that government play important functions in society, from providing defense to supporting needed infrastructure. Ensuring medical coverage to all via universal healthcare enhances our economy's infrastructure. It's a better, simpler approach for entrepreneurs which hire the majority of American employees and fund half the economic output. It enables employees to enjoy better health, come to work more often and increase productivity.

Addressing Concerns

Exist a million considerations I haven't covered? Certainly. Given rising medical expenses experienced in recent years, it's evident that current healthcare legislation is not working very well. And I realize that America isn't a small, Scandinavian country where big changes are easier to implement. But expanding universal Medicare, even with the additional taxes that would be incurred, would still be a superior and more affordable strategy both for controlling healthcare costs but providing access to everyone.

Need for Honest Assessment

We as Americans, must tone down national pride. America's medical care isn't so great. The US places significantly behind many other countries with the best healthcare in the world, based on comprehensive research. Perhaps a positive aspect in this present circumstances is that we take a hard look at ourselves and agree that major reforms are necessary.

Ryan Booth
Ryan Booth

A passionate photographer and educator dedicated to sharing innovative techniques and inspiring others through visual arts.