Deductibles. In-network. Out-of-network. Concierge medical services. Out-of-pocket expenses. Co-payment. Co-insurance. Benefit advisers. Insurance brokers. Medical advisors. Affordable Care Act. Health Maintenance Organization. Preferred Provider Organization. Exclusive Provider Organization. POS. HDHP. Health Savings Account. Flexible Spending Account. HRA. EOB. Consolidated Omnibus Budget Reconciliation Act. SHOP. Single coverage. Family coverage. Premium tax credits.
Baffled? It's understandable. Who comprehends all this stuff? Certainly not the average entrepreneur. Nor the typical worker. Choosing the right medical coverage for our business – or for our families – seems like it requires advanced expertise in healthcare.
According to recent research, the average family pays $twenty-seven thousand each year on medical coverage (up 6% from last year). Typical employer health insurance cost is expected to surpass $17,000 for each worker by 2026, an increase of 9.5% from 2025.
Now the government has ceased functioning because partisan disputes regarding subsidies that experts say will lead to a doubling of premiums for numerous US citizens.
When will we seriously consider a national health insurance program here in America? I'm convinced we're getting closer because this situation is unsustainable.
I'm not proposing government-run medicine. I'm proposing for our current Medicare program – an insurance system – simply expand to cover everyone. Our infrastructure remains intact. How our healthcare providers receive payment would change. Believe me, they'll adapt.
Universal healthcare coverage would require contributions from employees and employers. In comparable systems, a worker making average wages must contribute about 5.3% to their healthcare. The company pays approximately 13.75%.
Does this appear expensive? Unless you contrast that with what average American pays. I know multiple businesses who are easily contributing anywhere from 8% to 15% of payroll costs to their healthcare costs. And keep in mind that with comprehensive systems, these contributions also cover pension plans, illness coverage, maternity leave and unemployment benefits in addition to funding healthcare facilities. When including those costs compared with what we pay for our retirement plans, job loss coverage and vacation benefits, the difference decreases.
In the US, universal healthcare funding would increase existing Medicare taxes, a framework already established. It should be income-adjusted – wealthier individuals would contribute higher amounts than those earning less. This includes both worker and employer contribution. Similar to much of our government's military, technology, welfare services and infrastructure, the program should be outsourced 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 superior coverage. It would render administration much easier (automatic payroll withholding processed similarly to retirement and Medicare taxes, rather than separate payments to insurance companies and insurance providers).
It would make simpler for us to budget annual expenditures, rather than enduring the complicated (and fruitless) process of negotiating with the big insurance providers required annually each year. Because it's simplified, there would exist a better understanding of coverage among workers – contrasted with the current system where they have to decipher the complications of current options. And there would certainly be reduced responsibility for employers as we no longer would be privy to our employees' medical records for purposes of risk assessment and alternative plans.
I'm as pro-market as they get. But I've learned that public institutions play important functions in our lives, including national security to supporting essential systems. Ensuring medical coverage to all via universal healthcare enhances economic foundations. It represents superior, simpler approach for small businesses which hire more than half of American employees and generate half of our GDP. It makes it possible for workers to be healthier, have better attendance and increase productivity.
Exist a million considerations I haven't covered? Certainly. Given rising medical expenses we've seen in recent years, it's clear that current healthcare legislation isn't functioning effectively. And I realize that we're not a compact European nation where major reforms are easier to implement. However extending Medicare for all, even with the additional taxes required, would remain a superior and less expensive approach both for managing medical expenses and ensuring coverage for all citizens.
As Americans, must tone down our own arrogance. America's medical care isn't exceptional. We rank well below numerous nations in healthcare quality in the world, according to comprehensive research. Maybe one positive aspect amid present circumstances is that we take serious examination in the mirror and agree that major reforms need to happen.
Kaelen Vance is a seasoned esports journalist and former competitive gamer, passionate about sharing strategies and industry trends.