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

Out-of-pocket costs. In-network. Out-of-network. Premium health services. Personal healthcare costs. Fixed payment. Shared insurance. Insurance consultants. Coverage agents. Medical advisors. Affordable Care Act. HMO. PPO. EPO. POS. HDHP. Health Savings Account. Flexible Spending Account. HRA. EOB. COBRA. Small Business Health Options Program. Individual coverage. Family coverage. Insurance subsidies.

Baffled? It's understandable. Who comprehends all this stuff? Certainly not the average business owner. Neither the average worker. Choosing the appropriate healthcare insurance for companies – or for households – appears to require it requires a PhD in medical insurance.

The Healthcare System Is More Than Complicated, It Is Expensive

According to recent research, the average family pays $twenty-seven thousand each year on medical coverage (increasing by 6% from last year). Typical employer health insurance cost is expected to exceed $17,000 for each worker by 2026, an increase of 9.5% from 2025.

Currently the government is shut down because partisan disputes regarding tax credits which analysts predict could cause a doubling of premiums for numerous US citizens.

When Will We Truly Examine Universal Healthcare?

How soon might we seriously consider a national health insurance program here in America? I'm convinced we're getting closer since this can't continue.

I'm not proposing government-run medicine. I'm proposing that our already existing Medicare system – an insurance system – merely extend to include all citizens. Our infrastructure remains intact. How medical professionals receive payment changes. Trust me, they will adjust.

The Way National Health Insurance Would Work

A national health insurance program would need payments from workers and companies. In similar programs, a worker making moderate income pays about five point three percent toward medical coverage. Their employer pays about thirteen point seventy-five percent.

Does this seem expensive? Unless you contrast that with what the typical US resident spends. I can name multiple clients who are easily contributing anywhere from eight to fifteen percent of payroll costs for medical benefits. Remember that with inclusive programs, these contributions include pension plans, illness coverage, parental benefits and job loss protection in addition to supporting healthcare facilities. When including these expenses compared with our current spending for our retirement plans, job loss coverage and vacation benefits, the difference decreases.

Implementation in the US

In the US, a national health premium would increase existing Medicare taxes, a framework already established. It ought to be income-adjusted – those at higher income levels would contribute higher amounts than lower-income earners. This includes both worker and employer contribution. And, like much of our government's defense, technology, social programs and transportation services, the system should be outsourced by private contractors instead of a government office.

Benefits for Small Businesses

A national health insurance program represents a huge benefit for small businesses like mine. It would put small companies in equal competition with our larger competitors that can pay for superior coverage. It would render administration significantly simpler (automatic payroll withholding processed similarly to social security and healthcare taxes, instead of separate payments to benefit firms and coverage administrators).

It would make simpler for us to budget our yearly costs, instead of going through the complicated (and fruitless) theater of negotiating with the big insurance providers required annually every year. Because it's simplified, there would exist a better understanding of coverage among workers – as opposed to the current system where they have to interpret the complications of existing plans. Additionally there would certainly be reduced responsibility for employers since we wouldn't would be privy to workers' medical records for purposes of weighing risks and different options.

Capitalist Perspective

I'm as pro-market as they get. But I've learned that government has a significant role in our lives, from providing defense to supporting needed infrastructure. Ensuring medical coverage to all via universal healthcare enhances economic foundations. It's a better, easier system for small businesses which hire more than half of American employees and fund half of our GDP. It makes it possible employees to be healthier, have better attendance and increase productivity.

Addressing Concerns

Exist numerous factors I haven't covered? Certainly. Given rising medical expenses experienced in recent years, it's evident that the Affordable Care Act is not working effectively. I understand that we're not a small, Scandinavian country where big changes can be readily adopted. But expanding Medicare for all, even with the additional taxes required, would remain a superior and more affordable approach both for controlling healthcare costs and ensuring coverage for all citizens.

Need for Realistic Evaluation

As Americans, must tone down our own arrogance. Our healthcare system isn't so great. The US places well below numerous nations in healthcare quality in the world, according to comprehensive research. Maybe one bright spot in this current situation is that we take a hard look in the mirror and acknowledge that major reforms are necessary.

Anthony Beck
Anthony Beck

A seasoned Las Vegas travel writer and casino enthusiast with over a decade of experience exploring the Strip.