🔗 Share this article As a Committed Capitalist, But Medicare for All Is the Optimal Solution for American Healthcare Out-of-pocket costs. In-network. Out-of-network. Concierge medical services. Out-of-pocket expenses. Co-payment. Shared insurance. Benefit advisers. Coverage agents. Medical advisors. ACA. HMO. PPO. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. HSA. Flexible Spending Account. Health Reimbursement Arrangement. Explanation of Benefits. COBRA. SHOP. Individual coverage. Family coverage. Insurance subsidies. Confused? It's understandable. Who comprehends all this stuff? Not the typical business owner. Neither the average worker. Selecting the right medical coverage for our business – or for our families – appears to require demands advanced expertise in medical insurance. Our Healthcare System Isn't Just Complicated, It Is Expensive According to recent research, typical households pays $twenty-seven thousand each year for their health insurance (up 6% compared to last year). Typical employer health insurance cost is expected to surpass $seventeen thousand per employee by 2026, a 9.5% jump compared to 2025. Now the government has ceased functioning due to partisan disputes regarding tax credits that experts say will lead to a doubling of premiums for millions of Americans. When Will We Truly Examine Universal Healthcare? When will we seriously consider a national health insurance program here in America? I'm convinced we're getting closer since this situation is unsustainable. I'm not proposing national healthcare. I'm advocating for our current Medicare program – an established insurance framework – merely extend to cover everyone. Our infrastructure doesn't change. The way 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 employees and employers. In comparable systems, an employee making moderate income pays approximately five point three percent to their healthcare. Their employer must contribute about thirteen point seventy-five percent. Does this appear like a lot? Unless you contrast that with what the typical American pays. I can name dozens of businesses who are easily contributing between 8% to 15% of payroll costs to their healthcare costs. And keep in mind that with comprehensive systems, those payments include pension plans, illness coverage, maternity leave and job loss protection in addition to funding medical services. When you add these expenses compared with our current spending for our retirement plans, unemployment insurance and paid time off, the difference decreases. Execution in the US For America, a national health premium would raise our Medicare tax deduction, a system already established. It ought to be means-based – wealthier individuals would pay more than those earning less. This includes both worker and employer contribution. And, like many our government's military, IT, social programs and infrastructure, the system should be outsourced by private contractors instead of federal agencies. Benefits for Small Businesses Universal healthcare coverage represents a huge benefit for small businesses like mine. It would place us on a level playing field with our larger competitors who can afford better plans. It would make management significantly simpler (automatic payroll withholding 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 annual expenditures, rather than going through the complex (and ineffective) theater of negotiating with major insurers that we must do every year. Because it's simplified, there would be improved comprehension of coverage by our employees – as opposed to existing arrangements which require them to interpret the complications of current options. And there would certainly be less liability for companies since we wouldn't would be privy to our employees' health histories for purposes of risk assessment and different options. Free-Market Viewpoint I'm as pro-market as they get. But I've learned that government has a significant role in our lives, including national security to funding essential systems. Ensuring medical coverage for everyone through a national insurance system strengthens 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 be more productive. Considering Challenges Are there a million considerations I haven't covered? Certainly. Given all the healthcare cost increases we've seen recently, it's evident that current healthcare legislation is not working effectively. I understand that America isn't a small, Scandinavian country where major reforms can be readily adopted. However extending Medicare for all, even with the additional taxes that would be incurred, would remain a superior and less expensive strategy for not only managing medical expenses and ensuring coverage to everyone. Need for Honest Assessment As Americans, we need to tone down our own arrogance. America's medical care isn't exceptional. We rank well below numerous nations in healthcare quality in the world, based on comprehensive research. Maybe one positive aspect amid current situation is that we take a hard look at ourselves and agree that major reforms are necessary.