🔗 Share this article

Deductibles. Preferred providers. Non-preferred providers. Premium health services. Out-of-pocket expenses. Co-payment. Shared insurance. Benefit advisers. Coverage agents. Medical advisors. ACA. Health Maintenance Organization. PPO. EPO. Point of Service. High Deductible Health Plan. HSA. Flexible Spending Account. HRA. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Dependent coverage. Premium tax credits.

Confused? It's understandable. Who comprehends all this stuff? Certainly not the average entrepreneur. Neither the average worker. Selecting the right medical coverage for companies – or for households – seems like demands advanced expertise in healthcare.

Our Medical System Is More Than Complicated, It's Costly

According to recent research, the average family spends $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 in 2026, an increase of 9.5% from 2025.

Now federal operations is shut down due to partisan disputes regarding tax credits which analysts predict will lead to a doubling of premiums for millions of Americans.

When Might We Truly Examine National Health Insurance?

When will we seriously consider a national health insurance program in the United States? I'm convinced we're getting closer because 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 cover everyone. Our infrastructure doesn't change. How medical professionals receive payment would change. Trust me, they will adjust.

The Way National Health Insurance Would Work

Universal healthcare coverage would require contributions from employees and employers. In similar programs, a worker making moderate income pays about five point three percent to their healthcare. Their employer pays approximately 13.75%.

Does this seem expensive? Unless you contrast it to what the typical American pays. I can name dozens of clients that are easily contributing between 8% to 15% of payroll costs to their healthcare costs. Remember that in comprehensive systems, those payments include retirement benefits, illness coverage, maternity leave and unemployment benefits along with funding medical services. When you add those costs compared with our current spending for our retirement plans, job loss coverage and vacation benefits, the difference decreases.

Execution in the US

For America, universal healthcare funding would increase existing Medicare taxes, a framework already established. It ought to be income-adjusted – those at higher income levels would pay more than those earning less. There would be both an employee and employer contribution. And, like many our government's defense, IT, social programs and infrastructure, the system should be outsourced to third-party administrators rather than federal agencies.

Advantages for Entrepreneurs

Universal healthcare coverage would be a significant advantage for entrepreneurs such as my company. It would place small companies in equal competition with our larger competitors that can pay for superior coverage. It would render administration significantly simpler (a payroll deduction remitted like social security and healthcare taxes, rather than individual transactions to insurance companies and insurance providers).

It would enable it easier to plan expenses annual expenditures, instead of going through the complex (and ineffective) process of bargaining with major insurers that we must do each year. Due to simplification, there would exist a better understanding about benefits by our employees – contrasted with the current system which require them to interpret the complexities of existing plans. Additionally there would certainly be less liability for employers as we no longer have access to workers' medical records for purposes of risk assessment and alternative plans.

Capitalist Perspective

I'm as pro-market as possible. But I've learned that public institutions has a significant role in society, including national security to supporting needed infrastructure. Ensuring medical coverage to all via universal healthcare strengthens our economy's infrastructure. It represents superior, simpler approach for entrepreneurs which hire more than half of American employees and generate half of our GDP. It enables employees to enjoy better health, come to work more often and increase productivity.

Addressing Concerns

Exist a million considerations I haven't covered? Certainly. Given rising medical expenses we've seen in recent years, it's clear that current healthcare legislation is not working effectively. I understand that America isn't a compact European nation where major reforms can be readily adopted. However extending Medicare for all, despite the additional taxes that would be incurred, would still be a better and less expensive approach both for controlling healthcare costs and ensuring coverage for all citizens.

Need for Honest Assessment

As Americans, we need to reduce national pride. Our healthcare system isn't so great. We rank significantly behind numerous nations in healthcare quality globally, based on major studies. Perhaps a positive aspect in this present circumstances could be that we take serious examination in the mirror and acknowledge that major reforms need to happen.