Essay Weighs Feasibility of Universal Health Care in the U.S.
Urologist Alisa Berger's recent Kevin MD essay examines whether universal health care is feasible and economically justified in the United States. It cites 2024 national health spending of $5.3 trillion, or $15,474 per person, along with 37 million uninsured Americans and 41 million more with inadequate coverage. The essay references studies projecting savings under a single-payer system, while noting that federal tax commitments would increase.
Dr. Alisa Berger, a urologist, uses a Kevin MD essay to weigh whether universal coverage fits U.S. policy and economics. She notes 2024 national health spending hit $5.3 trillion, or $15,474 per person, a 7.2% rise that exceeded 5.3% GDP growth. Federal health outlays are projected to grow from 31% to 33% by 2034.
Coverage gaps remain: 37 million people are uninsured, and 41 million more have insufficient coverage or access. Berger cites single-payer estimates showing possible savings, including a 2020 projection of $450 billion, a July 2026 review of $1 trillion yearly, and a 2018 Mercatus figure of $318 billion, while noting higher federal tax or debt obligations.
If debate gains traction, it could shape how patients, taxpayers, employers, and clinicians weigh coverage security against tax changes. Uninsured and underinsured Americans may see access gains under reform proposals, while higher federal obligations could affect public budgets and household costs. The essay may influence public discussion by framing coverage as both an economic and moral question, though political resistance and implementation details may determine any real-world effect.