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Pros and Cons of Single-Payer and Employer-Based Insurance Systems

The insurance management system is the heart of agency maneuvers. The agency medium can help one meet the challenges faced every day. The major insurance systems used by politicians in the US include single-payer insurance system and an employer-based system. Each system marches along with both merits and demerits.

Pros and Cons of Single-Payer and Employer-Based Insurance Systems

Advantages and Disadvantages of the Single-Payer Insurance System

Generating a system leads to universal coverage in numerous ways; a single-payer is a practical approach among many. Single-payer varies in the scheme. However, they comprise a government-structured and run insurance plan that all citizens are entitled to and ultimately enrolled in (Blahous & Charles, 2018). The system experiences merits and demerits.


Firstly, the system satisfies a universal coverage. All residents of the eligible inhabitants can be assured when seeking access to health care services. The coverage is unceasing; people cannot lose coverage in case of inconvenience, for instance, change in income, residence, or job.

Moreover, equity is paramount in single-payer insurance. All US citizens enjoy similar coverage. This spread more to curbing discrimination in the ethical or racial designation. Hence all residents enjoy fair and assured care.

Besides, the current system for clients is streamlined. Absence of dividends or cost-sharing necessities, persons and allies would find it interacting with the health care system knowingly less organizationally complicated, considering the package’s crucial details and its linked cost-containment efforts.


In contrast, the system battles several drawbacks. Untiring inequities in access is still a significant shortcoming. Persons with heavy pockets would likely continue to pay out of pocket to receive some care in terms of their preference than those of a regular government care package. The more this occurs, the high limitations it would place on the supply in the government system.

Furthermore, elimination of consumer decision of insurer and other reimbursements of competition is an evident demerit. With voluminous consumers in the same insurance package and secretive insures banned as alternatives, clients who are dissatisfied with the new government system could not quit and choose a new carrier.

Advantages and Disadvantages of Employer-Based Insurance

Most Americans acquire health insurance through their employers. Employers fund the cost of insurance, but workers segment the expense through a range of payments, not excluding dividends, co-payments, and deductibles. Larger firms are more likely to compromise health insurance.


The system is risk spreading. The “gamble” lowered within a ground insurance system, though, takes a minor view of a significant issue. At the health insurance company level, the peril cuts across all strategies and policies covered, not at the personal employer level. Risk dispersion is noble- the comprehensive health insurance is made to comprehend.

The employer-based system has an assurance of a viable job market. The insurance outlines certainly hinder competition within the job market as long as there is apprehension about changing insurance when changing jobs. Furthermore, the health benefits package is a valuable portion of an all-around reimbursement bundle. However, clients may not be excellent at defining the worth of these products.

The system enhances health. Having bosses take health insurance preferences for their employees nurtures an environment in which employers are more willing to care about their health. Organizations would still be able to establish voluntary health programs, leading to many benefits to employee contentment and workability.


Contrary, the system lacks mobility. Fewer chances are there in case insurance have to change when one’s boss changes. That fosters a significant drawback to the beneficiary, focusing a fresh assurance.

Restriction of client preference is an underlying demerit. Having the employers choose insurance limits employee’s decisions, hence a lack of expression. Workforces are made to cope with the employer’s choice without a say.

To conclude, the insurance system bridges the misfortunes faced daily. More so, good health is of paramount need. Residents ought to be shielded to fit themselves for the unseen.

  • Blahous, Charles. “The costs of a national single-payer healthcare system.” Mercatus Research Paper (2018).
  • Hsiao, William C., Shou-Hsia Cheng, and Winnie Yip. “What can be achieved with a single-payer NHI system: The case of Taiwan.” Social Science & Medicine 233 (2019): 265-271.

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