• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
Finance

Beyond ACA: Healthcare reform for entrepreneurs

Fortune Editors
By
Fortune Editors
Fortune Editors
Down Arrow Button Icon
Fortune Editors
By
Fortune Editors
Fortune Editors
Down Arrow Button Icon
June 28, 2012, 7:56 PM ET

The Supreme Court today affirmed the constitutionality of the Affordable Care Act. With that uncertainty behind us, I feel it’s crucial for entrepreneurs to focus their energies on uniting around a single healthcare reform that will create jobs and facilitate greater innovation in America.

As a young single person, I don’t have the same worries that many have taking the risk of starting a new company. So I can afford a reasonable individual health plan, without sacrificing my entrepreneurial spirit. But many older creative people, or those with families, cannot. Instead, they remain in stagnant positions because they need health insurance continuity, rather than starting their own companies or even simply joining smaller less secure ventures. When you factor in those individuals and/or their family members who may have chronic conditions – more restrictions are placed on those individuals seeking a better or more entrepreneurial opportunity. This restricts employees from becoming employers and reduces the velocity of our nation’s job creation.

So what needs to be done? At the core – we must fundamentally change how we pay for healthcare. By its very nature, the employer-provided health insurance system of today limits portability, and restricts employees from becoming entrepreneurs.

I believe the single most important reform needed is to provide true health insurance portability – and here’s why:

If employees “owned” their insurance they would have the ability to navigate jobs, start their own companies or simply join a start-up – and our economy would see rapid growth and accelerated innovation. Just think, somewhere, right now there may be a brilliant scientist who could invent a cure for cancer or a software engineer who could develop a company to prevent cyber attacks on our nation’s energy grid – but they are unable to pursue their business ideas, because their child may have a chronic disease.

Our current healthcare system prevents the needed “risk taking” required for entrepreneurship – and so ideas are stifled and dreams never become a reality. Regardless of your political persuasion entrepreneurs should unite around the common belief that everyone should control their own healthcare and own their health insurance and ultimately their own destiny.

Everyone should have the ability to pursue their dreams – and together we can make that happen.

Alex Meshkin (@alexmeshkin) is a co-founder of GroupMD, a patient care social network enabling healthcare providers to communicate, collaborate and coordinate care.

About the Author
Fortune Editors
By Fortune Editors
See full bioRight Arrow Button Icon

Latest in Finance

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Finance

Markets on alert as Trump vows ‘Project Freedom’ for Hormuz, setting up potential showdown after renewed attacks on ships
EnergyIran
Markets on alert as Trump vows ‘Project Freedom’ for Hormuz, setting up potential showdown after renewed attacks on ships
By Jason MaMay 3, 2026
31 minutes ago
Meme stock GameStop pitches $56 Billion takeover of eBay
RetailRetail
Meme stock GameStop pitches $56 Billion takeover of eBay
By Cecilia D'Anastasio, Se Young Lee and BloombergMay 3, 2026
3 hours ago
Trump says U.S. will guide stranded ships from ‘neutral and innocent’ countries out of the Strait of Hormuz while hinting at positive Iran talks
PoliticsIran
Trump says U.S. will guide stranded ships from ‘neutral and innocent’ countries out of the Strait of Hormuz while hinting at positive Iran talks
By Adam Schreck, Melanie Lidman, Cara Anna and The Associated PressMay 3, 2026
6 hours ago
Basic goods in Cuba are increasingly sold in U.S. dollars as economy collapses. ‘Everything is scarce here — everything — even that wretched bread’
EconomyCuba
Basic goods in Cuba are increasingly sold in U.S. dollars as economy collapses. ‘Everything is scarce here — everything — even that wretched bread’
By Danica Coto and The Associated PressMay 3, 2026
6 hours ago
Hong Kong is the hub for China’s AI IPOs. It can be so much more than that
CommentaryHong Kong
Hong Kong is the hub for China’s AI IPOs. It can be so much more than that
By Brian Wong and Tony ChanMay 3, 2026
6 hours ago
As economic despair mounts, Russian official admits the country has had enough of Putin’s war on Ukraine. ‘We can’t even take one region’
EconomyRussia
As economic despair mounts, Russian official admits the country has had enough of Putin’s war on Ukraine. ‘We can’t even take one region’
By Jason MaMay 3, 2026
6 hours ago

Most Popular

Scott Bessent on financial literacy: 'it drives me crazy' to see young men in blue-collar construction jobs playing the lottery
Personal Finance
Scott Bessent on financial literacy: 'it drives me crazy' to see young men in blue-collar construction jobs playing the lottery
By Fatima Hussein and The Associated PressMay 1, 2026
3 days ago
America got rich and got sad. A top economist says 2020 broke something that hasn't healed
Economy
America got rich and got sad. A top economist says 2020 broke something that hasn't healed
By Nick LichtenbergMay 3, 2026
16 hours ago
Gen Z is rebelling against the economy with ‘disillusionomics,’ tackling near 6-figure debt by turning life into a giant list of income streams
Economy
Gen Z is rebelling against the economy with ‘disillusionomics,’ tackling near 6-figure debt by turning life into a giant list of income streams
By Jacqueline MunisMay 2, 2026
1 day ago
China dominates the world's lithium supply. The U.S. just found 328 years' worth in its own backyard
North America
China dominates the world's lithium supply. The U.S. just found 328 years' worth in its own backyard
By Jake AngeloApril 30, 2026
3 days ago
I spent a decade selling homes to the ultra-wealthy. What I saw explains the housing market's nepo problem
Commentary
I spent a decade selling homes to the ultra-wealthy. What I saw explains the housing market's nepo problem
By Blake O'ShaughnessyMay 3, 2026
16 hours ago
Sam Altman says the quiet part out loud, confirming some companies are ‘AI washing’ by blaming unrelated layoffs on the technology
AI
Sam Altman says the quiet part out loud, confirming some companies are ‘AI washing’ by blaming unrelated layoffs on the technology
By Sasha RogelbergMay 3, 2026
15 hours ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.