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I believe there are two main reasons for push back to universal healthcare, people want to be
able to choose their providers, and lobbying for private insurance paid for by private
insurance. The current American healthcare system is more business than anything and it
creates a lot of wealth for many private companies (Frieden 2015). Americans believe that
private health insurance provides better care than the public sector and there is some truth to
that but what people do not understand is that the continuous increase in premiums and high
deductible plans is why wages and salary growths have been low. There is also the issue with
an abundance of misinformation and confusion, as well as the idea that American's tend to be
very to each their own (Frieden 2015). American's also fear and revolt against government
control and tend to push back on the belief that the government does not have their best
interests at heart. Fear of change and people's fears of losing what they have also contributes
to their resistance to universal healthcare. Misinformation and confusion lead to ignorance
from the lack of information and understanding, and American's do not understand the system
they have let alone a new universal system and how it could be financed.
It is interesting to note that one of the possible ways to begin the reform is to get businesses to
understand that universal healthcare would be beneficial to them because then they would no
longer need to provide and pay for health benefits (Frieden 2015). This could be the tipping
into compulsory health coverage that the industry needs.
I think the other biggest hurdle is the army of lobbyists of combined top health industry
organizations (Cancryn 2019). Composed of insurance companies, hospitals, life science
companies, pharmacies, and doctors these groups work together in an attempt to make sure
universal healthcare doesn't happen. They are working together spending multiple millions to
work against this change in healthcare and reorder one-sixth of the nation's economy. In 2018
alone roughly $568 million was spent on this lobbying and this number continues to grow
hindering and halting big changes to the current health care system. These groups also
recruited other big names in the healthcare industry with the understanding that these groups
would lose billions with a universal healthcare that would pay private healthcare lower rates,
mean fewer customers, and possibly put them out of business.
The US spends more on healthcare than any other nation, we spend more money on
healthcare for Americans aged 65 and over than it spent for the entire population of any other
nation. (Vladeck, 2003), This high cost in healthcare is not due to higher utilization but the
higher cost in care prices. These high-cost prices are due to inflates drug prices, higher
administration costs, higher salaries for medical professionals, and higher processes for
medical services.
Why is the US resistant to universal healthcare? As a culture, many Americans are
individualistic and prefer the ability to make their own choices. Government involvement and
interest groups do not support universal healthcare. Any attempt at comprehensive national
health insurance ever be made, lobbyists would certainly mobilize to prevent its
implementation. (Callaghan, 2016)
Many dislikes universal healthcare due to the inconvenience of the healthcare model. There
are long wait times to see providers, higher taxes, changes to the infrastructure, and
technological advancement of services. Implementing universal health coverage can affect
the quality of care that is being provided along with delays in health prognosis. Government
agencies increasing taxes for healthcare coverage and not receiving care at the appropriate
time is not ideal for many Americans with universal healthcare. People rather pay for private
insurance and have the luxury to choose their providers and seek care when it's convenient for
them. b
“Universal health care is a health care system that provides health insurance to all legal
citizens. It ensures that all legal residents of a country have access to quality basic medical
care, regardless of income, employment, health condition, or other requirements” (Mintlife,
2021). There are some pros and cons when it comes to universal health care. Some of the pros
include reducing health care costs for both the resident and the healthcare providers,
providing the same level of care, and promoting healthier living (Mint, 2021). The cons of
having universal health care insurance are having a longer wait time for health care services,
the government would be more involved, and it would take up a large amount of the
government’s annual budget.
The United States is currently offering its residents two types of health insurance
options. The two types of health insurance options are private and government-funded
programs. Some health insurance companies under the private health insurance sector are
Blue Cross Blue Shield, CIGNA, and Anthem Inc. Some of the government fund programs
are Medicaid, Medicare, and Children Health Insurance Program (CHIP). The U.S. argues
that implementing a universal health care system, would not be as feasible, organized, or
financially stable as it is in other countries (Zieff, 2020). The U.S. government believes that
the cost to cover the universal health care system would be costly because the physical and
technological infrastructure of the current health care system would have to change. I believe
that many Americans oppose the universal health care system because they do not want to pay
the higher tax required and they do not want the government having a say in their health
insurance options.
Medicaid and Medicare cover the indigent as well as the elderly. On the other hand, CHIP
covers the children. However, there is a pushback to universal health coverage in the United
States. The main goal of universal health coverage is to ensure that all people have access to
essential healthcare services without any kind of undue financial struggle or hardship
(Pearson et al., 2016). It can provide a number of health, political, as well as economic
benefits to the people. It will enable the poor people to gain access to improved quality health
care services.
There are a number of reasons for the pushback to universal health coverage in the United
States. One of the important reasons is that there would be significant upfront costs. The cost
would include the costs relating to the technological as well as physical infrastructural
changes in the healthcare system, expansion of various services delivered, and treating or
ensuring the individuals who were previously uninsured (Zieff et al., 2020). In addition to
these, the high federal taxes would further increase the overall cost of universal health
coverage in the United States.
Apart from the increased federal and individual costs, the argument against universal health
coverage in the United States is the potential inefficiency of the system. It includes hampering
medical innovation and entrepreneurship and long waiting times for the patients (Zieff et al.,
2020). Increased waiting times of patients in the United States will significantly increase the
number of emergency as well as primary care visits. It may even lead to disorganization in the
healthcare setting.
Another prominent reason for the pushback is that the interest groups present in the United
States are not interested in the introduction of universal health coverage. Universal health care
has been on the national political plan for about a hundred years. However, it has failed in
being acted upon as the special interest groups were blocking the reform by means of
lobbying the lawmakers (Mitra, 2018). The interest groups in the United States did not want
this reform to happen.
Another potential reason for the pushback to universal health coverage in the United States is
that the enactment process can be hard for entitlement programs. The political organizations
present in the United States make it quite challenging for the entitlement programs to be
effectively enacted. The political structure of the United States is inclined towards inactivity.
Any broad reform in the nation will have to pass through a complex process of budget
evaluations, congressional boards, and possible vetoes, thereby making the enactment
difficult (Mitra, 2018).
References
Pearson, M., Colombo, F., Murakami, Y., & James, C. (2016, July). Universal health
coverage and health outcomes. In Paris: InFinal report for the G7 Health Ministerial Meeting.
Mitra, M. (2018). Free universal health care system in United States. Open Acc J Pol Sci Int
Rel, 1(1), 16-22.
Zieff, G., Kerr, Z. Y., Moore, J. B., & Stoner, L. (2020). Universal healthcare in the United
States of America: a healthy debate. Medicina, 56(11), 580.
Mintlife. (2021, November 19th). "What is Universal Health Care?" Retrieved from
https://mint.intuit.com/blog/trends/what-is-universal-health-
care/#:~:text=Universal%20health%20care%20is%20a,health%20condition%2C%20or%20o
ther%20requirements.
Zieff, G & Kerr, Z. (2020, November). "Universal Healthcare in the United States of
America: A Healthy Debate." Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692272/
Callaghan, T. (2016) Three reasons the US doesn't have universal health coverage Website:
https://theconversation.com/three-reasons-the-us-doesnt-have-universal-health-coverage-
67292
Vladeck, B, (2003) Universal Health Insurance in the United States: Reflections on the Past,
the Present, and the Future Website:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447684/
E. Rebecca Gruschow
Cancryn, A. (Nov. 25, 2019). The Army Built to Fight "Medicare for All". Politico. Retrieved
from: https://www.politico.com/news/agenda/2019/11/25/medicare-for-all-lobbying-072110
Frieden, J. (Jan. 28, 2015). Barriers to More Healthcare Reform Are Numerous. MedPage
Today. Retrieved from: https://www.medpagetoday.com/washington-watch/reform/49764
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