As a Hardcore Capitalist, But Universal Medicare Is the Best Solution for American Healthcare

Out-of-pocket costs. In-network. Non-preferred providers. Concierge medical services. Personal healthcare costs. Fixed payment. Shared insurance. Benefit advisers. Insurance brokers. Medical advisors. Affordable Care Act. Health Maintenance Organization. PPO. EPO. Point of Service. HDHP. HSA. Flexible Spending Account. HRA. Explanation of Benefits. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Dependent coverage. Premium tax credits.

Confused? You should be. Who comprehends all this stuff? Not the typical business owner. Nor the typical worker. Selecting the appropriate healthcare insurance for companies – or for our families – seems like demands advanced expertise in medical insurance.

The Medical System Isn't Just Complicated, It Is Costly

Based on recent research, typical households spends $twenty-seven thousand each year on medical coverage (increasing by 6% compared to last year). The average company healthcare expense is projected to surpass $seventeen thousand for each worker in 2026, a 9.5% jump from 2025.

Now federal operations has ceased functioning because partisan disputes regarding tax credits that experts say will lead to premium increases up to 100% for millions of Americans.

When Will We Truly Examine National Health Insurance?

How soon might we seriously consider universal healthcare coverage in the United States? I have to believe we're approaching that point because this situation is unsustainable.

I'm not suggesting government-run medicine. I'm proposing for our current Medicare program – an insurance system – simply expand to cover everyone. The existing system remains intact. The way our healthcare providers receive payment changes. Trust me, they'll adapt.

How Universal Coverage Could Function

Universal healthcare coverage would require contributions from employees and employers. In comparable systems, a worker earning average wages must contribute about five point three percent toward medical coverage. Their employer pays about 13.75%.

Does this appear like a lot? Not if you contrast it to what average American pays. I can name multiple clients who are routinely paying anywhere from eight to fifteen percent of their employee wages to their healthcare costs. And keep in mind that in inclusive programs, those payments also cover pension plans, illness coverage, parental benefits and unemployment benefits along with supporting healthcare facilities. When you add these expenses versus what we pay for our retirement plans, job loss coverage and paid time off, the gap narrows.

Implementation for America

In the US, a national health premium would raise our Medicare tax deduction, a system that is already in place. It should be means-based – wealthier individuals would contribute higher amounts than lower-income earners. This includes both worker and company payments. And, like many federal military, IT, welfare services and infrastructure, the program could be managed to third-party administrators instead of a government office.

Benefits for Entrepreneurs

Universal healthcare coverage represents a huge benefit for entrepreneurs like mine. It would put us on a level playing field with our larger competitors who can afford superior coverage. It would render management much easier (automatic payroll withholding remitted like retirement and healthcare taxes, instead of separate payments to benefit firms and insurance providers).

It would enable it easier to plan expenses our yearly costs, instead of enduring the complicated (and fruitless) theater of bargaining with the big insurance providers required annually every year. Because it's simplified, there would be improved comprehension of coverage among workers – as opposed to existing arrangements where they have to decipher the complexities of existing plans. Additionally there would definitely exist reduced responsibility for companies since we wouldn't would be privy to workers' health histories for purposes of risk assessment and different options.

Free-Market Viewpoint

I'm as capitalist as they get. But I've learned that public institutions has a significant role in society, from providing defense to funding needed infrastructure. Ensuring medical coverage for everyone through a national insurance system strengthens our economy's infrastructure. It's a better, simpler approach for entrepreneurs which hire the majority of the country's workers and fund half of our GDP. It enables employees to enjoy better health, come to work more often and be more productive.

Considering Challenges

Exist numerous factors I'm not addressing? Certainly. But with all the healthcare cost increases we've seen recently, it's clear that the Affordable Care Act isn't functioning effectively. And I realize that America isn't a small, Scandinavian country where major reforms are easier to implement. But expanding universal Medicare, despite increased taxation that would be incurred, would remain a superior and more affordable strategy for not only controlling healthcare costs but providing access for all citizens.

Need for Realistic Evaluation

We as Americans, we need to reduce our own arrogance. America's medical care isn't exceptional. We rank significantly behind numerous nations in healthcare quality in the world, based on comprehensive research. Perhaps a bright spot amid current situation could be that we undertake a hard look in the mirror and agree that major reforms need to happen.

Melissa Sanchez
Melissa Sanchez

A tech enthusiast and business strategist with over a decade of experience in digital transformation and startup consulting.