As a Committed Free-Market Advocate, Yet Universal Medicare Is the Optimal Solution for US Healthcare

Deductibles. Preferred providers. Out-of-network. Concierge medical services. Out-of-pocket expenses. Fixed payment. Co-insurance. Benefit advisers. Insurance brokers. Healthcare consultants. Affordable Care Act. HMO. Preferred Provider Organization. EPO. Point of Service. High Deductible Health Plan. Health Savings Account. FSA. Health Reimbursement Arrangement. Explanation of Benefits. COBRA. Small Business Health Options Program. Single coverage. Dependent coverage. Insurance subsidies.

Baffled? You should be. Who understands all this stuff? Not the typical business owner. Nor the typical worker. Choosing the right healthcare insurance for companies – or for households – appears to require it requires advanced expertise in medical insurance.

The Medical System Isn't Just Complex, It's Expensive

According to recent research, typical households pays $27,000 each year for their health insurance (up 6% from last year). The average employer health insurance cost is expected to surpass $seventeen thousand for each worker by 2026, a 9.5% jump from 2025.

Now federal operations has ceased functioning due to partisan disputes over tax credits which analysts predict will lead to a doubling of premiums for numerous US citizens.

When Will We Truly Examine National Health Insurance?

How soon might we seriously consider a national health insurance program in the United States? I have to believe we're getting closer since this can't continue.

I'm not suggesting government-run medicine. I'm advocating for our current Medicare system – an established insurance framework – simply expand to cover everyone. The existing system remains intact. How our healthcare providers receive payment would change. Trust me, they'll adapt.

The Way National Health Insurance Could Function

Universal healthcare coverage would need contributions from both employees and employers. In comparable systems, a worker making moderate income pays about five point three percent to their healthcare. Their employer must contribute approximately 13.75%.

Does this seem expensive? Not if you compare that with what the typical US resident spends. I can name multiple businesses who are routinely paying between 8% to 15% of their employee wages to their healthcare costs. And keep in mind that in comprehensive systems, these contributions include retirement benefits, illness coverage, parental benefits and unemployment benefits along with supporting medical services. When you add those costs compared with our current spending on retirement programs, unemployment insurance and vacation benefits, the gap narrows.

Implementation for America

For America, universal healthcare funding would raise our Medicare tax deduction, a framework that is already in place. It ought to be means-based – those at higher income levels would pay more than lower-income earners. This includes both worker and employer contribution. Similar to many federal defense, IT, welfare services and infrastructure, the system should be outsourced by private contractors instead of a government office.

Benefits for Entrepreneurs

Universal healthcare coverage would be a significant advantage for entrepreneurs like mine. It would place us on a level playing field against big corporations who can afford better plans. It would render management much easier (automatic payroll withholding processed similarly to social security and healthcare taxes, instead of individual transactions to benefit firms and coverage administrators).

It would enable simpler to plan expenses annual expenditures, instead of going through the complex (and ineffective) theater of bargaining with major insurers required annually each year. Because it's simplified, there would be improved comprehension about benefits by our employees – contrasted with existing arrangements which require them to decipher the complications of current options. Additionally there would certainly be less liability for companies as we no longer would be privy to our employees' medical records for purposes of weighing risks and different options.

Free-Market Viewpoint

I'm as pro-market as they get. However I recognize that public institutions play important functions in society, including national security to funding essential systems. Providing healthcare for everyone through a national insurance system enhances our economy's infrastructure. It's a better, easier system for small businesses which hire the majority of American employees and fund half the economic output. It enables for workers to enjoy better health, have better attendance and increase productivity.

Addressing Concerns

Are there numerous factors I'm not addressing? Certainly. Given rising medical expenses experienced recently, it's clear that current healthcare legislation isn't functioning effectively. I understand that we're not a small, Scandinavian country where major reforms can be readily adopted. But expanding universal Medicare, even with the additional taxes required, would remain a superior and less expensive strategy for not only managing medical expenses and ensuring coverage for all citizens.

Need for Honest Assessment

As Americans, must reduce national pride. America's medical care isn't exceptional. The US places well below many other countries in healthcare quality in the world, based on major studies. Perhaps a positive aspect amid current situation could be that we undertake a hard look at ourselves and agree that major reforms are necessary.

Kimberly Mitchell
Kimberly Mitchell

A Prague-based journalist passionate about Czech culture and current affairs, with over a decade of experience in media.

August 2025 Blog Roll

July 2025 Blog Roll

Popular Post