I'm a Committed Free-Market Advocate, Yet Medicare for All Represents the Best Solution for US Healthcare

Out-of-pocket costs. In-network. Out-of-network. Premium health services. Out-of-pocket expenses. Fixed payment. Shared insurance. Insurance consultants. Insurance brokers. Medical advisors. ACA. HMO. PPO. EPO. POS. HDHP. Health Savings Account. Flexible Spending Account. HRA. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Family coverage. Insurance subsidies.

Baffled? You should be. Who comprehends this complex system? Certainly not the average entrepreneur. Neither the average worker. Selecting the appropriate medical coverage for our business – or for households – seems like it requires a PhD in healthcare.

Our Medical System Is More Than Complicated, It Is Expensive

Based on a recent study, typical households pays $twenty-seven thousand each year on medical coverage (up 6% compared to last year). The average company healthcare expense is expected to surpass $17,000 for each worker by 2026, an increase of 9.5% from 2025.

Currently federal operations has ceased functioning due to partisan disputes over subsidies that experts say will lead to premium increases up to 100% for numerous US citizens.

When Might We Truly Examine National Health Insurance?

When will we genuinely evaluate a national health insurance program in the United States? I'm convinced we're approaching that point because this can't continue.

I'm not proposing national healthcare. I'm proposing that our already existing Medicare program – an insurance system – merely extend to cover everyone. Our infrastructure remains intact. The way medical professionals get paid changes. Believe me, they will adjust.

The Way National Health Insurance Could Function

A national health insurance program would require payments from workers and companies. In similar programs, a worker making moderate income must contribute about five point three percent toward medical coverage. Their employer pays about 13.75%.

Does this seem like a lot? Unless you contrast it to what average American pays. I know multiple businesses who are easily contributing between eight to fifteen percent of payroll costs to their healthcare costs. And keep in mind that in comprehensive systems, these contributions include retirement benefits, illness coverage, parental benefits and job loss protection along with funding medical services. When you add those costs compared with our current spending on retirement programs, unemployment insurance and vacation benefits, the difference decreases.

Execution for America

For America, universal healthcare funding would increase existing Medicare taxes, a framework already established. It ought to be means-based – wealthier individuals would contribute higher amounts than those earning less. This includes both an employee and employer contribution. And, like much of federal defense, technology, welfare services and infrastructure, the program should be outsourced by private contractors rather than a government office.

Advantages for Entrepreneurs

A national health insurance program represents a significant advantage for small businesses such as my company. It would place us on a level playing field against big corporations who can afford better plans. It would make administration significantly simpler (a payroll deduction processed similarly to retirement and healthcare taxes, rather than separate payments to insurance companies and coverage administrators).

It would enable simpler for us to budget our yearly costs, instead of going through the complicated (and ineffective) theater of negotiating with major insurers required annually each year. Because it's simplified, there would be improved comprehension about benefits among workers – contrasted with existing arrangements where they have to interpret the complexities of current options. And there would certainly be reduced responsibility for companies as we no longer would be privy to our employees' health histories for purposes of weighing risks and different options.

Free-Market Viewpoint

I'm as pro-market as possible. But I've learned that public institutions has a significant role in our lives, from providing defense to supporting essential systems. Ensuring medical coverage to all through a national insurance system strengthens our economy's infrastructure. It's a better, simpler approach for entrepreneurs which hire more than half of the country's workers and generate half the economic output. It makes it possible employees to be healthier, come to work more often and increase productivity.

Considering Challenges

Are there a million considerations I'm not addressing? Of course there are. But with all the healthcare cost increases we've seen recently, it's clear that the Affordable Care Act is not working very well. And I realize that America isn't a small, Scandinavian country where major reforms are easier to implement. However extending Medicare for all, despite the additional taxes that would be incurred, would remain a better and less expensive approach for not only managing medical expenses and ensuring coverage for all citizens.

Time for Honest Assessment

As Americans, must tone down national pride. Our healthcare system isn't so great. The US places significantly behind many other countries in healthcare quality globally, according to comprehensive research. Maybe one positive aspect amid present circumstances could be that we take serious examination at ourselves and agree that big changes are necessary.

Donald Baker
Donald Baker

Agile coach and software developer with over a decade of experience in transforming teams and delivering innovative solutions.