Deductibles. Preferred providers. Non-preferred providers. Premium health services. Personal healthcare costs. Fixed payment. Shared insurance. Benefit advisers. Coverage agents. Healthcare consultants. ACA. HMO. PPO. Exclusive Provider Organization. Point of Service. High Deductible Health Plan. Health Savings Account. Flexible Spending Account. Health Reimbursement Arrangement. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Dependent coverage. Premium tax credits.
Baffled? You should be. Who comprehends all this stuff? Certainly not the average business owner. Nor the typical worker. Choosing the right healthcare insurance for our business – or for our families – seems like demands advanced expertise in healthcare.
Based on recent research, the average family spends $27,000 each year on medical coverage (increasing by 6% compared to last year). Typical company healthcare expense is expected to exceed $seventeen thousand for each worker by 2026, a 9.5% jump from 2025.
Now the government has ceased functioning because political disagreements regarding subsidies which analysts predict will lead to premium increases up to 100% for numerous US citizens.
When will we genuinely evaluate a national health insurance program here in America? I have to believe we're approaching that point because this situation is unsustainable.
I'm not proposing national healthcare. I'm proposing for our current Medicare system – an established insurance framework – simply expand to cover everyone. The existing system doesn't change. How medical professionals get paid changes. Trust me, they will adjust.
Universal healthcare coverage would need payments from both employees and employers. In comparable systems, a worker making average wages pays about five point three percent to their healthcare. The company pays approximately thirteen point seventy-five percent.
Does this appear like a lot? Unless you contrast it to what average US resident spends. I can name dozens of businesses who are easily contributing between 8% to 15% of payroll costs to their healthcare costs. And keep in mind that in comprehensive systems, those payments include retirement benefits, sick pay, maternity leave and job loss protection in addition to supporting healthcare facilities. When including those costs compared with our current spending for our retirement plans, job loss coverage and paid time off, the gap narrows.
In the US, a national health premium would increase our Medicare tax deduction, a system that is already in place. It ought to be income-adjusted – wealthier individuals would pay more than those earning less. There would be both an employee and employer contribution. Similar to much of federal defense, technology, welfare services and infrastructure, the program could be managed to third-party administrators instead of federal agencies.
A national health insurance program represents a huge benefit for small businesses such as my company. It would put small companies in equal competition against big corporations that can pay for better plans. It would make administration much easier (automatic payroll withholding processed similarly to retirement and Medicare taxes, rather than individual transactions to insurance companies and coverage administrators).
It would enable simpler to plan expenses our yearly costs, rather than going through the complex (and ineffective) theater of bargaining with the big insurance providers required annually every year. Due to simplification, there would be improved comprehension of coverage among workers – as opposed to the current system which require them to decipher the complications of existing plans. And there would certainly be reduced responsibility for employers as we no longer have access to workers' medical records for purposes of weighing risks and alternative plans.
I'm as pro-market as they get. But I've learned that public institutions play important functions in society, from providing defense to funding essential systems. Providing healthcare to all via universal healthcare enhances economic foundations. It represents superior, easier system for entrepreneurs that employ more than half of the country's workers and fund half of our GDP. It makes it possible employees to be healthier, have better attendance and increase productivity.
Exist numerous factors I haven't covered? Of course there are. Given rising medical expenses we've seen recently, it's evident that the Affordable Care Act isn't functioning effectively. And I realize that America isn't a compact European nation where major reforms can be readily adopted. But expanding universal Medicare, even with the additional taxes that would be incurred, would still be a better and more affordable approach for not only managing medical expenses and ensuring coverage for all citizens.
We as Americans, must tone down national pride. Our healthcare system isn't exceptional. We rank significantly behind numerous nations in healthcare quality globally, based on major studies. Perhaps a positive aspect in this present circumstances is that we undertake serious examination in the mirror and agree that big changes need to happen.
A tech enthusiast and gaming analyst with over a decade of experience covering digital entertainment and emerging technologies.