🔗 Share this article As a Dedicated Capitalist, But Medicare for All Is the Top Solution for American Healthcare Deductibles. Preferred providers. Non-preferred providers. Concierge medical services. Out-of-pocket expenses. Co-payment. Co-insurance. Benefit advisers. Insurance brokers. Medical advisors. Affordable Care Act. HMO. Preferred Provider Organization. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. Health Savings Account. Flexible Spending Account. HRA. EOB. COBRA. Small Business Health Options Program. Single coverage. Family coverage. Insurance subsidies. Baffled? You should be. Who understands this complex system? Certainly not the average entrepreneur. Nor the typical employee. Selecting the appropriate medical coverage for our business – or for our families – appears to require it requires advanced expertise in healthcare. Our Medical System Is More Than Complex, It's Expensive Based on a recent study, typical households pays $27,000 each year for their health insurance (increasing by 6% from last year). Typical company healthcare expense is projected to surpass $seventeen thousand for each worker in 2026, a 9.5% jump compared to 2025. Now the government is shut down due to political disagreements over subsidies that experts say could cause premium increases up to 100% for millions of Americans. When Might We Seriously Consider National Health Insurance? How soon might we genuinely evaluate universal healthcare coverage here in America? I have to believe we're getting closer because this can't continue. I'm not proposing national healthcare. I'm advocating that our already existing Medicare system – an insurance system – merely extend to cover everyone. The existing system remains intact. The way our healthcare providers receive payment changes. Believe me, they'll adapt. The Way Universal Coverage Would Work Universal healthcare coverage would require payments from employees and employers. In similar programs, an employee earning moderate income pays about 5.3% to their healthcare. The company pays about 13.75%. Does this seem expensive? Not if you contrast it to what the typical American pays. I can name dozens of businesses who are routinely paying anywhere from 8% to 15% of payroll costs to their healthcare costs. Remember that in comprehensive systems, these contributions also cover pension plans, illness coverage, parental benefits and unemployment benefits along with funding medical services. When including those costs versus 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 raise our Medicare tax deduction, a framework that is already in place. It should be income-adjusted – wealthier individuals would contribute higher amounts than those earning less. This includes both an employee and company payments. And, like many our government's defense, IT, welfare services and infrastructure, the system should be outsourced by private contractors instead of federal agencies. Benefits for Entrepreneurs Universal healthcare coverage would be a significant advantage for small businesses like mine. It would place small companies in equal competition with our larger competitors who can afford better plans. It would make administration significantly simpler (automatic payroll withholding processed similarly to retirement and healthcare taxes, instead of individual transactions to insurance companies and coverage administrators). It would enable it easier to plan expenses our yearly costs, rather than going through the complex (and ineffective) process of bargaining with major insurers required annually each year. Because it's simplified, there would be improved comprehension of coverage among workers – contrasted with the current system which require them to decipher the complexities of existing plans. Additionally there would definitely exist reduced responsibility for companies since we wouldn't have access to our employees' medical records for risk assessment and different options. Capitalist Perspective I'm as pro-market as they get. However I recognize that government has a significant role in our lives, including national security to funding essential systems. Ensuring medical coverage to all through a national insurance system enhances economic foundations. It represents superior, simpler approach for entrepreneurs which hire more than half of the country's workers and generate half the economic output. It enables employees to enjoy better health, have better attendance and increase productivity. Addressing Concerns Are there a million considerations I haven't covered? Of course there are. But with all the healthcare cost increases we've seen recently, it's clear that the Affordable Care Act isn't functioning very well. And I realize that we're not a compact European nation where big changes can be readily adopted. However extending universal Medicare, despite increased taxation that would be incurred, would still be a superior and more affordable strategy both for managing medical expenses but providing access for all citizens. Need for Honest Assessment As Americans, must tone down national pride. America's medical care isn't so great. The US places significantly behind numerous nations with the best healthcare in the world, according to major studies. Maybe one bright spot amid present circumstances could be that we undertake a hard look at ourselves and acknowledge that major reforms need to happen.