(Photo from The Los Angeles Times)
Today, California’s plan to start a single-payer health care plan fell through as bill AB1400 failed to progress through the Assembly. Single-payer health care is a type of universal health care in which a government provides a single health insurance plan for its residents and determines the prices for medical goods and procedures. According to The San Francisco Daily Chronicle, those who opposed the bill and those who supported it had differing views of the bill’s possible economic outcome. Critics believed the bill would be too costly for the state, whereas supporters argued that the bill would lower the cost of health care.
This is not the first time California has failed to pass a single-payer health care bill. The Los Angeles Times reports that two other single-payer health care bills have failed to pass the Assembly in the past five years. According to Vox, Vermont also attempted to pass a single-payer health care bill in 2014, but the bill failed because legislatures were worried about the costs of creating the program. The approximate annual cost for bill AB1400 is between $314 billion and $391 billion, which exceeds Gov. Gavin Newsom’s preferred overall budget for California of $286.4 billion.
Gov. Newsom also proposed a new health care plan which would expand California’s health care program, Medi-Cal. The change would include allowing undocumented immigrants to be eligible for full-scope Medi-Cal coverage rather than restricted-scope Medi-Cal coverage. The Legislative Analyst’s Office estimates that this expansion would cost about $870 million dollars this year and more than $2 billion annually.
Health care is an increasingly important topic and its cruciality in our world has been highlighted with the pandemic. According to the United Nations’ International Covenant on Economic, Social and Cultural Rights, there is a “right of everyone to the enjoyment of the highest attainable standard of physical and mental health” which suggests that health care is a human right and should be protected by governments. However, the question of how to protect and provide this right has become very politicized in the U.S.
The feasibility of the single-payer health care system seems uncertain, especially if Gov. Newsom does not want to increase California’s budget. Gov. Newsom's idea for expanding the Medi-Cal program seems like a promising option for undocumented immigrants, but doesn’t seem to do much to help other California residents as well. Perhaps another option could be to expand the Medi-Cal program for all California residents, making health care more accessible and treating it more like a human/civil right, while still letting people opt into private medical insurance if they so choose.
Discussion questions:
1. What do you think about single-payer health care? What about Gov. Newsom’s plan?
2. Do you think the bill should have at least been brought to the floor for a vote? Why or why not?
3. How would you propose to change health care? Or would you keep it the same as it is now?
Research links
San Francisco Chronicle article: https://www.sfchronicle.com/politics/article/We-did-not-have-the-votes-Legislator-kills-16820618.php
Los Angeles Times article: https://www.latimes.com/california/story/2022-01-31/single-payer-healthcare-proposal-fizzles-in-california-assembly
Vox article: https://www.vox.com/2014/12/22/7427117/single-payer-vermont-shumlin
Legislative Analyst’s Office report: https://lao.ca.gov/Publications/Report/4423
UN International Covenant on Economic, Social and Cultural Rights: https://www.ohchr.org/en/professionalinterest/pages/cescr.aspx
Washington Post video: https://www.youtube.com/watch?v=tg2ZUZo2FpU
Vox video: https://www.youtube.com/watch?v=u9x4cRWqPPM
1 comment:
I think that single-payer health care does have its merits as over 26.5 million people are uninsured in the United States. Compared to other countries with single-payer such as France, the United Kingdom, and Canada, the U.S. pays more for health care. 45% of uninsured adults have said that the high cost of coverage turned them away from getting health insurance.
Already, polls show that over 125 million adults favor single-payer. With this system, costs of administration will likely be less, as funds can be shifted to providing health care to the population, rather than being wasted in bureaucracy.
While single-payer does have its benefits, I think that it can be harmful for some patients. In England, after implementing single payer health care, over 362,000 patients waited longer than 18 weeks for hospital treatment in March of 2017, an increase of almost 64,000 from the previous year. In Canada’s single-payer system, the median wait after seeing a doctor to start treatment was 20 weeks, or four and a half months. This poses a problem as patients in single-payer systems are dying (especially with lack of resources during the pandemic), including those for urgent treatment with diagnosed cancer (19% wait two months) and brain surgery (17% wait four months).
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