Why It’s Time to Dismantle the Insurance Industry and Guarantee Universal Care for All
Everywhere we look — public parks, paved roads, schools, emergency services — we see examples of things we agree should be available to all members of society, simply because we exist together in community. We pay taxes for these services because they make sense: they create safer, healthier, better-functioning societies.
And yet, somehow, the most important service of all — access to medical care — is not treated as a human right in America.
Instead, it’s treated as a commodity. A luxury. A system to be rationed according to how much money you have, not how much you need.
We must change this. And it starts by calling out the elephant in the room:
The private insurance industry is preventing us from having a truly successful, affordable, universal healthcare system.
The Problem: An Industry Profiting Off Our Pain
Right now, the average American is paying anywhere between $400 and $1,400 per month on health insurance premiums — and that’s just to have coverage.
Add in co-pays, deductibles, surprise bills, pre-authorizations, claim denials, and uncovered procedures, and it becomes painfully clear: we are spending more on healthcare than any country in the world, and getting less for it.
Private insurance companies are middlemen that:
- Extract enormous profits from our need for healthcare
- Deny and delay care to maximize their financial gains
- Create unnecessary administrative chaos that wastes doctors’ and patients’ time
- Drive up costs by negotiating wildly inconsistent pricing across hospitals and providers
In short, they exist to stand between you and the care you need, taking their cut along the way.
This is not just inefficient.
It’s immoral.
Healthcare should never be a system where profit incentives outweigh human lives.
The Vision: A Healthcare System That Works for Everyone
Imagine instead a system where:
- Every person in the United States is guaranteed full medical coverage from birth.
- Doctors and nurses are trusted to make care decisions without insurance companies second-guessing them.
- Healthcare costs are standardized across the country — a Pap smear costs the same in Kansas as it does in California.
- You never have to worry about losing coverage if you lose your job.
- No deductibles. No surprise bills. No denied claims.
- And best of all, you would pay less than you’re already paying now.
This is not a fantasy.
This is how healthcare works in dozens of other developed nations — all of which spend less money per capita and achieve better health outcomes than we do.
It is time for the United States to catch up.
And to do that, we must remove the insurance companies from the equation.
The Solution: Replace Private Insurance With Public Funding
Here’s how we do it:
1. Eliminate Private Insurance for Basic Healthcare
Instead of paying $500–$1500 a month to a private company, Americans would pay into a National Healthcare Trust Fund through taxes — just like we do for Medicare and Social Security.
These taxes would be progressive — meaning lower-income individuals pay less, and higher-income individuals pay more.
For most Americans, their total healthcare tax would be less than what they currently spend on premiums, deductibles, and co-pays combined.
2. Cover Everyone, for Everything Essential
The system would cover:
- Primary care
- Specialist visits
- Hospital stays
- Emergency services
- Surgeries
- Mental health care
- Preventive care
- Prescription drugs
- Dental, vision, maternity, and more
No more uninsured. No more underinsured.
3. Trust Doctors, Not Bureaucrats
Doctors who are licensed and board-certified should not have to beg permission from insurance companies to do their jobs.
We end pre-authorizations.
We end claim denials.
We put medical decisions back where they belong: between the patient and the provider.
4. Standardize Costs
A national pricing schedule ensures that procedures have fixed, fair prices.
This means no more $15,000 hospital bills for a 10-minute procedure. No more hidden fees. No more outrageous variability.
Everyone — patients, providers, and payers — knows what to expect.
5. Pay Healthcare Workers Fairly
Doctors, nurses, and other providers will still be compensated well — not based on how many procedures they can bill, but based on the quality of care they provide.
Burnout will decrease. Professional satisfaction will rise. Patients will receive better, more humane care.
How the Transition Would Work
Big changes need thoughtful, phased implementation. Here’s the roadmap:
Phase 1: Legislation and Infrastructure
- Pass a federal law creating the public system.
- Set up the National Healthcare Trust Fund.
- Develop national service pricing.
Phase 2: Immediate Coverage Expansion
- Expand Medicare to cover all children under 18 and adults over 55.
- Gradually lower the Medicare eligibility age each year.
Phase 3: Full Universal Coverage
- Every U.S. resident automatically covered.
- Employers no longer responsible for providing insurance.
- Private insurance allowed only for luxury extras (not essential care).
Phase 4: System Optimization
- Annual updates to pricing.
- Continuous quality reviews.
- Expansion of preventive care programs.
Addressing Common Fears and Myths
“My taxes will go up!”
Maybe — but your total healthcare spending will go down. No more paying insurance premiums, deductibles, or getting surprise bills. You will pay less overall.
“Government-run healthcare will ration care!”
Our current system already rations care — by your ability to pay. A public system guarantees access based on need, not wealth.
“Doctors will leave the country!”
Doctors in countries with universal healthcare are well-paid and report lower rates of burnout. Most doctors would welcome a system that lets them practice medicine without dealing with insurance bureaucracy.
“Innovation will stop!”
Most medical innovation comes from public funding (NIH, universities, etc.). Other countries innovate too — and still provide universal care.
Why This Matters Now
Our healthcare system is not just broken — it is actively harming millions of people every year.
- People skip medications because they can’t afford them.
- People delay care because they fear the cost.
- Medical bills are the number one cause of bankruptcy in America.
This is not acceptable.
If we are willing to pay taxes to maintain roads we drive on, parks we enjoy, and schools our children attend, then we must also be willing to ensure that every person in this country has access to lifesaving healthcare, without fear, without debt, and without delay.
Healthcare is a human right. It’s time to start treating it that way.
Conclusion: It’s Time for Courage
The system we have now is not inevitable. It was designed this way — and we can design something better.
We have the technology. We have the knowledge.
What we need is the courage to put human lives above corporate profits.
By eliminating the private insurance industry’s grip on our healthcare system and replacing it with a fair, efficient, publicly funded program, we can create a system that is more humane, more sustainable, and more just.
We owe it to ourselves.
We owe it to each other.
And we owe it to future generations.
The time for universal healthcare is now.
Let’s build it together.