I'm a Hardcore Capitalist, But Medicare for All Represents the Best Solution for US Health System

Out-of-pocket costs. Preferred providers. Out-of-network. Premium health services. Out-of-pocket expenses. Fixed payment. Co-insurance. Benefit advisers. Insurance brokers. Healthcare consultants. ACA. Health Maintenance Organization. Preferred Provider Organization. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. Health Savings Account. Flexible Spending Account. Health Reimbursement Arrangement. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Dependent coverage. Premium tax credits.

Baffled? It's understandable. Who understands all this stuff? Not the typical entrepreneur. Neither the average employee. Selecting the right medical coverage for our business – or for our families – seems like demands advanced expertise in healthcare.

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

According to recent research, typical households pays $27,000 annually for their health insurance (up 6% compared to last year). The average company healthcare expense is expected to exceed $seventeen thousand for each worker by 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'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 system – an insurance system – simply expand to cover everyone. Our infrastructure remains intact. The way our healthcare providers get paid changes. Believe me, they'll adapt.

How National Health Insurance Could Function

Universal healthcare coverage would require payments from both workers and companies. In comparable systems, a worker making moderate income must contribute about five point three percent toward medical coverage. The company must contribute about thirteen point seventy-five percent.

Does this appear like a lot? Not if you contrast that with what average US resident spends. I can name dozens of businesses who are easily contributing between 8% to 15% of their employee wages for medical benefits. Remember that with comprehensive systems, those payments also cover pension plans, sick pay, maternity leave and unemployment benefits along with supporting medical services. When including these expenses compared with our current spending on retirement programs, unemployment insurance and paid time off, the difference decreases.

Execution for America

In the US, universal healthcare funding would raise our Medicare tax deduction, a framework that is already in place. It ought to be means-based – wealthier individuals would pay more than those earning less. There would be both worker and employer contribution. Similar to much of our government's military, technology, welfare services and transportation services, the program should be outsourced to third-party administrators rather than a government office.

Advantages for Entrepreneurs

Universal healthcare coverage represents a huge benefit for entrepreneurs such as my company. It would place small companies in equal competition against big corporations who can afford superior coverage. It would make management much easier (automatic payroll withholding remitted like retirement and healthcare taxes, instead of separate payments to benefit firms and insurance providers).

It would make it easier for us to budget annual expenditures, rather than enduring the complicated (and fruitless) process of negotiating with major insurers that we must do every year. Due to simplification, there would be improved comprehension about benefits among workers – contrasted with existing arrangements which require them to decipher the complexities of current options. And there would certainly be reduced responsibility for employers as we no longer would be privy to our employees' health histories for weighing risks and different options.

Free-Market Viewpoint

I'm as pro-market as they get. However I recognize that government play important functions in our lives, including national security to funding needed infrastructure. Ensuring medical coverage to all via universal healthcare enhances economic foundations. It represents superior, simpler approach for entrepreneurs that employ the majority of American employees and generate half the economic output. It makes it possible employees to enjoy better health, have better attendance and be more productive.

Addressing Concerns

Are there numerous factors I haven't covered? Certainly. But with rising medical expenses we've seen in recent years, it's clear that the Affordable Care Act is not working very well. I understand that we're not a compact European nation where big changes can be readily adopted. However extending universal Medicare, even with the additional taxes that would be incurred, would remain a superior and less expensive strategy for not only managing medical expenses but providing access to everyone.

Time for Honest Assessment

As Americans, must tone down national pride. America's medical care isn't exceptional. We rank well below many other countries in healthcare quality in the world, according to major studies. Maybe one positive aspect amid present circumstances is that we undertake a hard look in the mirror and acknowledge that major reforms are necessary.

Janice Decker
Janice Decker

A technology strategist with over a decade of experience in digital innovation and sustainable tech solutions.