I'm a Dedicated Free-Market Advocate, Yet Medicare for All Represents the Optimal Solution for American Healthcare

Deductibles. In-network. Non-preferred providers. Concierge medical services. Personal healthcare costs. Fixed payment. Co-insurance. Insurance consultants. Insurance brokers. Healthcare consultants. Affordable Care Act. HMO. Preferred Provider Organization. EPO. Point of Service. HDHP. HSA. Flexible Spending Account. HRA. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Dependent coverage. Insurance subsidies.

Baffled? It's understandable. Who comprehends all this stuff? Not the typical entrepreneur. Nor the typical employee. Selecting the right healthcare insurance for our business – or for our families – appears to require demands advanced expertise in medical insurance.

The Healthcare System Isn't Just Complex, It's Expensive

According to a recent study, the average family spends $27,000 each year for their health insurance (up 6% from last year). Typical employer health insurance cost is expected to exceed $17,000 per employee by 2026, a 9.5% jump compared to 2025.

Currently federal operations has ceased functioning because partisan disputes regarding subsidies which analysts predict could cause premium increases up to 100% for numerous US citizens.

When Will We Truly Examine Universal Healthcare?

When will we seriously consider universal healthcare coverage here in America? I have to believe we're getting closer because this can't continue.

I'm not proposing government-run medicine. I'm proposing for our current Medicare program – an insurance system – merely extend to include all citizens. Our infrastructure doesn't change. How medical professionals get paid would change. Trust me, they'll adapt.

How National Health Insurance Would Work

Universal healthcare coverage would require contributions from both workers and companies. In similar programs, a worker making moderate income pays approximately 5.3% toward medical coverage. The company must contribute about thirteen point seventy-five percent.

Does this appear expensive? Unless you contrast it to what average US resident spends. I know multiple clients that are routinely paying between 8% to 15% of payroll costs for medical benefits. Remember that with inclusive programs, these contributions include pension plans, illness coverage, maternity leave and job loss protection in addition to funding medical services. When you add these expenses versus what we pay on retirement programs, job loss coverage and paid time off, the gap narrows.

Execution for America

For America, universal healthcare funding would raise our Medicare tax deduction, a system that is already in place. It ought to be means-based – wealthier individuals would contribute higher amounts than lower-income earners. There would be both worker and company payments. And, like much of our government's military, IT, social programs and transportation services, the system should be outsourced to third-party administrators instead of a government office.

Advantages for Small Businesses

A national health insurance program would be a significant advantage for small businesses such as my company. It would put us on a level playing field with our larger competitors who can afford better plans. It would render management much easier (a payroll deduction remitted like retirement and Medicare taxes, rather than individual transactions to benefit firms and coverage administrators).

It would enable simpler to plan expenses annual expenditures, rather than going through the complicated (and fruitless) process of negotiating with major insurers required annually each year. Because it's simplified, there would exist a better understanding of coverage by our employees – as opposed to the current system which require them to decipher the complications of current options. Additionally there would definitely exist less liability for employers since we wouldn't have access to workers' health histories for weighing risks and different options.

Capitalist Perspective

I'm as capitalist as possible. But I've learned that public institutions play important functions in society, from providing defense to funding essential systems. Ensuring medical coverage to all through a national insurance system enhances economic foundations. It represents superior, simpler approach for entrepreneurs that employ the majority of the country's workers and fund half the economic output. It enables for workers to be healthier, come to work more often and increase productivity.

Considering Challenges

Exist numerous factors I'm not addressing? Of course there are. But with all the healthcare cost increases experienced in recent years, it's evident that the Affordable Care Act is not working very well. And I realize that America isn't a small, Scandinavian country where big changes are easier to implement. However extending Medicare for all, despite the additional taxes that would be incurred, would remain a superior and less expensive strategy for not only controlling healthcare costs but providing access for all citizens.

Need for Realistic Evaluation

We as Americans, must reduce national pride. America's medical care isn't so great. We rank significantly behind numerous nations with the best healthcare in the world, according to major studies. Maybe one positive aspect in this current situation is that we undertake serious examination in the mirror and agree that major reforms are necessary.

Suzanne Conrad
Suzanne Conrad

A gaming analyst with over a decade of experience in casino strategy and player psychology.