I'm a Dedicated Free-Market Advocate, Yet Medicare for All Represents the Best Hope for US Health System

Deductibles. Preferred providers. Non-preferred providers. Premium health services. Personal healthcare costs. Co-payment. Shared insurance. Benefit advisers. Coverage agents. Healthcare consultants. Affordable Care Act. 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. SHOP. Single coverage. Family coverage. Insurance subsidies.

Baffled? You should be. Who comprehends all this stuff? Certainly not the average business owner. Nor the typical worker. Choosing the right healthcare insurance for companies – or for households – seems like it requires advanced expertise in healthcare.

Our Medical System Isn't Just Complex, It Is Costly

Based on a recent study, the average family spends $27,000 annually on medical coverage (up 6% compared to last year). Typical employer health insurance cost is expected to exceed $seventeen thousand per employee in 2026, an increase of 9.5% from 2025.

Now federal operations has ceased functioning due to political disagreements over 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 since this situation is unsustainable.

I'm not proposing government-run medicine. I'm advocating for our current Medicare program – an insurance system – simply expand to include all citizens. The existing system doesn't change. How medical professionals receive payment changes. Believe me, they will adjust.

The Way National Health Insurance Could Function

Universal healthcare coverage would require contributions from employees and employers. In comparable systems, a worker making average wages pays approximately 5.3% toward medical coverage. Their employer must contribute about thirteen point seventy-five percent.

Does this appear like a lot? Unless you contrast it to what the typical US resident spends. I can name multiple businesses that are routinely paying between 8% to 15% of their employee wages for medical benefits. And keep in mind that in comprehensive systems, these contributions include retirement benefits, sick pay, maternity leave and unemployment benefits along with supporting medical services. When you add those costs compared with what we pay on retirement programs, job loss coverage and paid time off, the gap narrows.

Implementation in the US

For America, universal healthcare funding would increase our Medicare tax deduction, a system that is already in place. It ought to be means-based – those at higher income levels would pay more than lower-income earners. There would be both worker and employer contribution. And, like much of federal military, technology, social programs and transportation services, the program could be managed to third-party administrators rather than federal agencies.

Advantages for Entrepreneurs

Universal healthcare coverage represents a huge benefit for entrepreneurs like mine. It would place us on a level playing field against big corporations who can afford superior coverage. It would render management much easier (a payroll deduction remitted like social security and healthcare taxes, rather than individual transactions to benefit firms and coverage administrators).

It would enable simpler to plan expenses our yearly costs, rather than going through the complicated (and fruitless) process of bargaining with major insurers required annually every year. Because it's simplified, there would be a better understanding about benefits by our employees – as opposed to the current system where they have to decipher the complications of current options. And there would definitely exist less liability for employers since we wouldn't would be privy to our employees' medical records for risk assessment and alternative plans.

Free-Market Viewpoint

I'm as capitalist as possible. But I've learned that public institutions has a significant role in our lives, including national security to supporting essential systems. Providing healthcare to all via universal healthcare strengthens our economy's infrastructure. It represents superior, simpler approach for small businesses which hire the majority of American employees and fund half of our GDP. It enables employees to be healthier, have better attendance and be more productive.

Addressing Concerns

Exist numerous factors I'm not addressing? Of course there are. But with all the healthcare cost increases experienced in recent years, it's clear that current healthcare legislation is not working effectively. I understand that we're not a compact European nation where major reforms are easier to implement. But expanding universal Medicare, despite increased taxation that would be incurred, would remain a superior and more affordable strategy both for controlling healthcare costs but providing access to everyone.

Need for Honest Assessment

As Americans, must tone down our own arrogance. America's medical care isn't exceptional. We rank significantly behind many other countries with the best healthcare globally, based on comprehensive research. Maybe one bright spot amid present circumstances could be that we undertake a hard look at ourselves and acknowledge that big changes need to happen.

Suzanne Russell
Suzanne Russell

A passionate writer and storyteller with over a decade of experience in crafting engaging narratives and mentoring aspiring authors.