Introduction
The United States spends more money on healthcare than any other developed country in the world. But even with all that spending, millions of people cannot afford to go to the doctor. According to the thesis from California State University, the U.S. spends $13,493 per person each year on healthcare. That's more than countries like Canada, Germany, and the United Kingdom spend on their citizens. The U.S is ranked lower on basic health end results like life expectancy and infant mortality (Pocasangre). That is a serious problem. If a country is spending the most money but getting the worst results, then the system is not working in the way it should be. People are paying more and getting nothing in return. Every single year, Americans face medical bills that clear out their savings, forcing them into debt, or causing them to skip care and have it charged to their name and credit because they simply cannot afford it. This should not be happening in one of the wealthiest countries. The United States needs to move toward a universal healthcare system so that each single person can get the care they need without going in debt and losing everything they worked hard for.
What Universal Healthcare Actually Means
Before getting into an argument, it helps to clear up what universal healthcare actually means, because a lot of people have a hard time understanding. Universal healthcare does not mean that all medical care is completely free. It doesn't mean the government pays for every single thing with no limits to it. What it means is that people can get the care they need without having to drain their bank account or go into serious debt. A global review of 124 studies took a look at how different countries around the world have set up their healthcare systems. The study found that universal coverage can work through many different models depending on the country. One known example is the United Kingdom, where the government funds healthcare through taxes collected from the working people. Other countries use a mix of different funding, such as public and private. Some allow private insurance to exist alongside the public system. The specific model looks different from place to place, but the goal is always the same: make sure that regular, everyday people can afford the care they need (Endalamaw et al.). No one should ever have to choose between paying rent and seeing a doctor. Universal healthcare is built around making sure that it never has to happen in the first place. That is not a drastic idea. It is a practical one. It also means that people who are self-employed, between jobs, or working part-time would not have to go without care just because their situation does not fit neatly into the current system. Universal healthcare fills those gaps. When a child grows up in a household that cannot afford regular doctor visits, that affects their whole life. A healthy population is a more productive one. People who can get care when they need it miss less work, stay out of the emergency room, and live longer, healthier lives. That benefits everyone, not just the people receiving the care.
The Coverage Gap
The biggest issue with the current U.S. system is that it leaves too many people without any coverage at all. The American College of Physicians took a deep look at how the system functions, and what they found was not good. Large portions of the U.S. population fall through cracks. They either make too much money to not qualify for government assistance but not enough to afford private insurance, or they work jobs that do not offer any type of health benefits. The American College of Physicians was clear that the U.S. spends far more on healthcare than other developed countries, yet it still gets worse results across the board. Their statement was that the system needs real structural reform if it is ever going to work fairly for everyone (Crowley et al.). Right now, whether or not a person can afford healthcare it depends a lot on where they work and how much money they make. That is not a fair way to run a system that deals with people's lives and health. This means millions of Americans skip doctor visits, avoid getting important tests done, or put treatment off for serious conditions only because they cannot afford it. Over time, that makes everything worse. Small health problems turn into big ones, and big ones can become very life-threatening. A person might ignore chest pains because they do not want to deal with a hospital bill they cannot afford to pay. Someone might cut their insulin doses in half because the full amount costs too much. These are not small decisions. They are life and death decisions that people should never have to make. A system that truly works for everyone would stop that cycle before it starts.
Addressing the Cost Concern
One of the common arguments against universal healthcare is that it would cost the government too much money to set up. However, that is a real concern, and it deserves an answer. Researchers at Rowan University studied this issue. They acknowledged that the upfront cost of switching to a universal system would be significant. Making a change that large does not come cheap, and it would take years to fully put into place. But what they also found is that countries with universal healthcare systems end up spending less money overall in the long run. The main reason for that is preventive care. When people have access to regular checkups and early treatment, health problems get caught early. Catching a problem early is almost always cheaper to treat than waiting until it becomes a serious condition requiring emergency care or surgery (Stanton et al.). Think about it this way managing diabetes with regular doctor visits and medication costs much less than treating someone for kidney failure or a foot amputation, both of which can happen when diabetes goes untreated for years. The savings will add up over time.
The researchers at Rowan also pointed out that one of the biggest reasons reform has not happened yet in the U.S. is political lobbying. Private insurance companies and large healthcare corporations spend a lot of money trying to block changes to the current system because the current system makes them a lot of money, and they love money (Stanton et al.). That is an important thing to be honest about. The barriers to universal healthcare are not just financial. They are very political, too. But just because something is hard to change does not mean it should stay broken.
Who Is Hit the Hardest
The people who suffer the most under the current system are those who are in low-income communities. These are people who often work multiple jobs, have little to no savings, and cannot afford to miss work for a doctor's appointment, let alone pay for one, especially if its life threatening. A study published in the International Journal of Environmental Research and Public Health found that low-income groups in the U.S. deal with much higher rates of conditions like diabetes and obesity compared to people with more money. These are conditions that are very manageable when people get regular care and early treatment. Under the current system, many low-income people do not get that care at all. They wait until things get really bad, and then they end up in the emergency room. Emergency room care is the most expensive kind of care there is, and it often comes too late to really fix the problem (Zieff et al.). The same study was upfront about the fact that moving to a universal system would be difficult and would come with real costs. But the researchers still concluded that the long-term benefits outweigh those costs, especially for the communities that are being hit the hardest right now. It is also worth noting that even sources that take a hard and honest look at the downsides of universal healthcare tend to land in the same place when they look at all the evidence. The long-term case for reform is strong, and the people who need it most are already paying the price for inaction.
Conclusion
The United States spends more on healthcare than any other country, but millions of people are still being left behind by a system that does not work for them. Other countries around the world have proven that universal healthcare is possible. They have done it using different models, and many of them are getting better health while spending less money. The evidence all points in the same way. Moving toward universal healthcare would lead to better results for more people, especially those in low-income communities who are struggling the most right now. The upfront challenges are real, and the political fight to make it happen would not be easy. But the current system is too broken and too expensive to keep defending. People are going into debt, skipping medication, and dying from conditions that could have been treated if they had just been able to see a doctor in time. The United States has the money and the knowledge to build something better. What it needs is the political will to actually do it.
Works Cited
Crowley, Ryan, et al. "Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care." Annals of Internal Medicine, vol. 172, no. S2, 2020, pp. S7–S32. doi:10.7326/M19-2415.
Endalamaw, Aklilu, et al. "Universal Health Coverage—Exploring the What, How, and Why Using Realist Review." PLOS Global Public Health, vol. 5, no. 3, 2025, e0003330. doi:10.1371/journal.pgph.0003330.
Pocasangre, Steve A. Transitioning the US Healthcare System to Universal Healthcare. California State University, 2024. ScholarWorks, scholarworks.calstate.edu/downloads/6h441279z.
Stanton, Tara, et al. "Pros, Cons, and the Barriers to Implementing a Universal Healthcare System in the United States." Rowan-Virtua Research Day, 2024. doi:10.31986/issn.2689-0690_rdw.stratford_research_day.190_2024.
Zieff, Gabriel, et al. "Universal Healthcare in the United States of America: A Healthy Debate." International Journal of Environmental Research and Public Health, vol. 17, no. 24, 2020, p. 9280. doi:10.3390/ijerph17249280.