I'm a Dedicated Capitalist, But Universal Medicare Represents the Best Hope for American Health System

Out-of-pocket costs. In-network. Non-preferred providers. Concierge medical services. Out-of-pocket expenses. Co-payment. Co-insurance. Insurance consultants. Insurance brokers. Healthcare consultants. ACA. HMO. PPO. Exclusive Provider Organization. POS. HDHP. Health Savings Account. FSA. HRA. EOB. COBRA. Small Business Health Options Program. Individual coverage. Dependent coverage. Insurance subsidies.

Confused? It's understandable. Who comprehends all this stuff? Certainly not the average business owner. Neither the average worker. Selecting the appropriate medical coverage for our business – or for our families – appears to require demands advanced expertise in healthcare.

Our Healthcare System Is More Than Complicated, It Is Costly

According to recent research, typical households spends $twenty-seven thousand annually on medical coverage (increasing by 6% compared to last year). Typical employer health insurance cost is projected to surpass $seventeen thousand per employee by 2026, a 9.5% jump compared to 2025.

Currently the government has ceased functioning because political disagreements regarding tax credits that experts say could cause a doubling of premiums for numerous US citizens.

When Will We Seriously Consider National Health Insurance?

How soon might we genuinely evaluate a national health insurance program in the United States? I'm convinced we're approaching that point since this can't continue.

I'm not proposing national healthcare. I'm advocating for our current Medicare system – an insurance system – simply expand to cover everyone. Our infrastructure doesn't change. The way our healthcare providers get paid changes. Believe me, they will adjust.

How Universal Coverage Would Work

Universal healthcare coverage would require contributions from both workers and companies. In similar programs, a worker making average wages pays approximately 5.3% toward medical coverage. The company pays about 13.75%.

Does this seem like a lot? Not if you compare it to what the typical American pays. I know dozens of businesses who are routinely paying anywhere from eight to fifteen percent of their employee wages for medical benefits. And keep in mind that with comprehensive systems, those payments include pension plans, illness coverage, parental benefits and job loss protection in addition to funding healthcare facilities. When including these expenses compared with our current spending on retirement programs, unemployment insurance and vacation benefits, the difference decreases.

Execution in the US

In the US, a national health premium would increase existing Medicare taxes, a system that is already in place. It should be income-adjusted – those at higher income levels would contribute higher amounts than those earning less. This includes both worker and company payments. Similar to many our government's defense, technology, social programs and transportation services, the system should be outsourced to third-party administrators instead of federal agencies.

Advantages for Small Businesses

Universal healthcare coverage represents a huge benefit for entrepreneurs such as my company. It would place small companies in equal competition with our larger competitors who can afford better plans. It would render management much easier (automatic payroll withholding processed similarly to retirement and healthcare taxes, rather than separate payments to benefit firms and coverage administrators).

It would make it easier to plan expenses our yearly costs, instead of going through the complex (and ineffective) process of negotiating with the big insurance providers that we must do each year. Due to simplification, there would exist improved comprehension about benefits by our employees – as opposed to the current system which require them to decipher the complexities of existing plans. Additionally there would certainly be less liability for companies as we no longer have access to workers' medical records for weighing risks and alternative plans.

Free-Market Viewpoint

I'm as capitalist as they get. However I recognize that government play important functions in society, including national security to supporting essential systems. Ensuring medical coverage for everyone through a national insurance system strengthens economic foundations. It's a better, simpler approach for entrepreneurs which hire more than half of American employees and fund half the economic output. It enables employees to enjoy better health, come to work more often and increase productivity.

Addressing Concerns

Exist numerous factors I haven't covered? Of course there are. Given all the healthcare cost increases 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 are easier to implement. But expanding universal Medicare, despite the additional taxes that would be incurred, would still be a better and less expensive strategy both for controlling healthcare costs but providing access to everyone.

Need for Realistic Evaluation

As Americans, must tone down national pride. Our healthcare system isn't so great. The US places well below many other countries in healthcare quality in the world, based on comprehensive research. Perhaps a bright spot in this present circumstances is that we take serious examination at ourselves and acknowledge that big changes are necessary.

Todd Wright
Todd Wright

Award-winning filmmaker and industry analyst with over a decade of experience in documentary and commercial production.