As a Committed Free-Market Advocate, But Universal Medicare Is the Optimal Solution for US Health System

Deductibles. In-network. Non-preferred providers. Premium health services. Out-of-pocket expenses. Co-payment. Shared insurance. Benefit advisers. Insurance brokers. Medical advisors. ACA. Health Maintenance Organization. PPO. Exclusive Provider Organization. POS. High Deductible Health Plan. Health Savings Account. FSA. Health Reimbursement Arrangement. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Family coverage. Premium tax credits.

Baffled? You should be. Who comprehends this complex system? Not the typical entrepreneur. Neither the average employee. Selecting the right healthcare insurance for our business – or for households – seems like it requires advanced expertise in healthcare.

The Medical System Is More Than Complex, It Is Costly

According to recent research, the average family pays $twenty-seven thousand each year on medical coverage (up 6% compared to last year). The average employer health insurance cost is expected to surpass $seventeen thousand per employee in 2026, a 9.5% jump from 2025.

Now federal operations is shut down because partisan disputes over tax credits that experts say will lead to premium increases up to 100% for numerous US citizens.

When Might We Truly Examine Universal Healthcare?

How soon might we genuinely evaluate universal healthcare coverage in the United States? I have to believe 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 established insurance framework – merely extend to cover everyone. Our infrastructure remains intact. The way medical professionals receive payment changes. Believe me, they will adjust.

How Universal Coverage Could Function

Universal healthcare coverage would require payments from workers and companies. In comparable systems, an employee making average wages must contribute about 5.3% toward medical coverage. Their employer pays approximately 13.75%.

Does this seem like a lot? Unless you contrast that with what the typical US resident spends. I can name multiple clients who are easily contributing anywhere from 8% to 15% of their employee wages for medical benefits. And keep in mind that in inclusive programs, those payments also cover retirement benefits, illness coverage, maternity leave and job loss protection in addition to supporting healthcare facilities. When including those costs versus what we pay for our retirement plans, job loss coverage and paid time off, the gap narrows.

Implementation for America

For America, universal healthcare funding would increase existing Medicare taxes, a framework that is already in place. It ought to be income-adjusted – wealthier individuals would pay more than those earning less. There would be both worker and employer contribution. And, like much of our government's defense, IT, social programs and infrastructure, the program should be outsourced to third-party administrators rather than federal agencies.

Benefits for Entrepreneurs

Universal healthcare coverage represents a huge benefit for entrepreneurs like mine. It would put us on a level playing field against big corporations that can pay for better plans. It would render administration much easier (a payroll deduction remitted like retirement and Medicare taxes, instead of individual transactions to insurance companies and insurance providers).

It would make simpler to plan expenses our yearly costs, rather than enduring the complicated (and fruitless) theater of negotiating with major insurers required annually every year. Due to simplification, there would be a better understanding of coverage by our employees – contrasted with the current system which require them to decipher the complexities of existing plans. And there would definitely exist reduced responsibility for companies since we wouldn't have access to our employees' medical records for risk assessment and alternative plans.

Capitalist Perspective

I'm as pro-market as they get. However I recognize that public institutions play important functions in society, including national security to funding essential systems. Providing healthcare to all through a national insurance system enhances economic foundations. It represents superior, easier system for small businesses that employ more than half of American employees and generate half the economic output. It makes it possible employees to be healthier, come to work more often and be more productive.

Addressing Concerns

Exist numerous factors I'm not addressing? Certainly. But with rising medical expenses we've seen recently, it's evident that the Affordable Care Act isn't functioning effectively. I understand that we're not a compact European nation where major reforms are easier to implement. But expanding Medicare for all, despite the additional taxes required, would still be a better and less expensive strategy for not only controlling healthcare costs but providing access to everyone.

Time for Realistic Evaluation

We as Americans, we need to tone down national pride. Our healthcare system isn't so great. The US places well below numerous nations with the best healthcare globally, based on comprehensive research. Maybe one positive aspect amid current situation is that we undertake serious examination at ourselves and agree that big changes need to happen.

Carolyn Saunders
Carolyn Saunders

A tech historian and cybersecurity expert passionate about preserving and securing vintage computing systems.