{"id":22176,"date":"2022-04-27T12:17:18","date_gmt":"2022-04-27T19:17:18","guid":{"rendered":"http:\/\/occupysf.net\/?p=22176"},"modified":"2022-04-27T12:17:19","modified_gmt":"2022-04-27T19:17:19","slug":"the-ball-is-back-in-newsoms-court-on-single-payer-health-care-in-california","status":"publish","type":"post","link":"https:\/\/occupysf.net\/index.php\/2022\/04\/27\/the-ball-is-back-in-newsoms-court-on-single-payer-health-care-in-california\/","title":{"rendered":"The ball is back in Newsom\u2019s court on single-payer health care in California"},"content":{"rendered":"\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sfchronicle.com\/author\/sophia-bollag\/\" target=\"_blank\"><\/a><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sfchronicle.com\/author\/sophia-bollag\/\" target=\"_blank\">Sophia Bollag<\/a>  April 25, 2022  (SFChronicle.com)<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s.hdnux.com\/photos\/01\/25\/16\/30\/22341150\/12\/1200x0.jpg\" alt=\"Gov. Gavin Newsom announces new state actions to protect Californians amid rising cases of COVID-19 and the new Omicron variant during a press conference at the Native American Health Center in Oakland, Calif. on Dec. 22, 2021.\"\/><figcaption>Gov. Gavin Newsom announces new state actions to protect Californians amid rising cases of COVID-19 and the new Omicron variant during a press conference at the Native American Health Center in Oakland, Calif. on Dec. 22, 2021.Bront\u00eb Wittpenn\/The Chronicle<\/figcaption><\/figure>\n\n\n\n<p>The ball is back in&nbsp;<a href=\"https:\/\/www.sfchronicle.com\/gavinnewsom\/\">Gov. Gavin Newsom&#8217;s<\/a>&nbsp;court when it comes to creating a single-payer&nbsp;<a href=\"https:\/\/www.sfchronicle.com\/health\/\">health<\/a>&nbsp;care system in&nbsp;<a href=\"https:\/\/www.sfchronicle.com\/California\/\">California<\/a>.<\/p>\n\n\n\n<p>In January, when Newsom was asked if he supported a bill to create a universal, government-run health care system in California, he dodged the question, saying he was waiting for a report from a state commission studying the issue.<\/p>\n\n\n\n<p>On Monday, the commission finalized that report, which found that&nbsp;<a href=\"https:\/\/www.chhs.ca.gov\/wp-content\/uploads\/2022\/04\/Key-Design-Considerations_April-2022_Final-Report-for-Distribution.pdf\">health care costs will skyrocket&nbsp;<\/a>by 30% in nine years under the current system and advocates an overhaul that would eliminate distinctions among private and government coverage, in favor of a new system to provide health care to all Californians.<\/p>\n\n\n\n<p>The Democratic governor has long said he supports creating such a system in California but has not endorsed specific legislation to do so. Now that the report is out, it\u2019s not clear what steps he may take to get there.<\/p>\n\n\n\n<p>\u201cWe have been following the progress of the commission\u2019s work, and look forward to reviewing and discussing the final report with the Legislature and stakeholders,\u201d Newsom spokesman Alex Stack wrote in a statement. He pointed to other ways the governor has worked to expand health care access, including by expanding eligibility for the state\u2019s&nbsp;<a href=\"https:\/\/www.latimes.com\/california\/story\/2022-01-10\/california-poised-to-remove-all-immigration-rules-for-medi-cal-healthcare\">health coverage to more undocumented immigrants<\/a>.<\/p>\n\n\n\n<p>Newsom\u2019s secretary of Health and Human Services, Dr. Mark Ghaly, chaired the commission and committed in the report to assign staff to coordinate with President Joe Biden\u2019s administration. That\u2019s a significant step toward overhauling California\u2019s health care system, advocates say, because the state would need approval to repurpose the billions of federal dollars that flow into the current system.<\/p>\n\n\n\n<p>\u201cThat&#8217;s really the key next step, and depends upon the governor&#8217;s leadership,\u201d said Michael Lighty, a consultant working with the National Union of Healthcare Workers to advocate for a single-payer system. \u201cThis is really a new day for health care reform in California.\u201d<\/p>\n\n\n\n<p>The commission\u2019s report stops short of explicitly endorsing a universal, government-run health system in California, as proponents of so-called single-payer health care had hoped, and instead leaves the door open for private health insurers to have some role in a new system. But the report does endorse a major shakeup to a \u201cunified financing\u201d system. The report outlines several options for how that system could look, including a \u201csingle-payer\u201d system that would eliminate private insurance.<\/p>\n\n\n\n<p>Carmen Comsti of the National Nurses United union, was the lone commissioner to vote against sending the report to Newsom and the Legislature on Monday, arguing it didn\u2019t go far enough in specifically recommending to the Legislature how to implement single-payer in California.More for you<\/p>\n\n\n\n<ul><li><a href=\"https:\/\/www.sfchronicle.com\/bayarea\/article\/Single-payer-health-care-is-dead-in-California-16827355.php\">Single-payer health care is dead in California until these things change<\/a><\/li><li><a href=\"https:\/\/www.sfchronicle.com\/bayarea\/article\/Single-payer-health-care-advocates-rip-Gavin-16776781.php\">Single-payer health care advocates rip Gavin Newsom for \u2018flip-flop\u2019<\/a><\/li><\/ul>\n\n\n\n<p>\u201cThis report falls short of presenting clear, concrete, formal actions to get us to single-payer,\u201d she said. \u201cWe bury the lead on single-payer and its benefits. The report scarcely uses the phrase single-payer at all.\u201d<\/p>\n\n\n\n<p>Newsom has long said he supports a single-payer system. Since taking office, however, he has not endorsed legislation to transition to single-payer, but has taken other steps toward expanding health care within the existing system.<\/p>\n\n\n\n<p>He said in January that he believes it\u2019s \u201cinevitable\u201d that the United States will transition to a single-payer system eventually, but stopped short of laying out a plan for how he would work toward it. He pointed to the commission\u2019s report as a critical next step.<\/p>\n\n\n\n<p>Any overhaul of the health care system will meet major resistance from many parts of the industry. That was illustrated earlier this year when a coalition of health care organizations and business groups, including the California trade groups representing doctors, hospitals and health insurance plans, came out in fierce opposition to a single-payer bill in the Legislature.<\/p>\n\n\n\n<p>The bill,&nbsp;<a href=\"https:\/\/leginfo.legislature.ca.gov\/faces\/billNavClient.xhtml?bill_id=202120220AB1400\">AB1400<\/a>, was&nbsp;<a href=\"https:\/\/www.sacbee.com\/news\/politics-government\/capitol-alert\/article258154383.html\">shelved by its author before coming up for a vote&nbsp;<\/a>on the Assembly floor.<\/p>\n\n\n\n<p>Ned Wigglesworth, a spokesman for the coalition, said the group is still reviewing the commission\u2019s report and doesn\u2019t want to comment yet. Previously, however, the group blasted the concept of single-payer health care. During the debate over AB1400, the coalition wrote that it would \u201cimmeasurably disrupt the health care that millions of Californians rely on every day\u201d by forcing them all onto a government plan.<\/p>\n\n\n\n<p>Anthony Wright, executive director of the consumer advocacy group Health Access, told The Chronicle he thinks the report could have made clearer recommendations on how to implement single-payer. Wright, who supports transitioning to single-payer and voted in favor of the report, said it\u2019s still a significant step.<\/p>\n\n\n\n<p>He said the discussions with the federal government that Ghaly commits to in the report are particularly consequential. In the meantime, he said there are many piecemeal steps the Legislature can take toward expanding health care access to more people and laying the groundwork for a big transition that will take many years.<\/p>\n\n\n\n<p>\u201cIt would be a mistake to think there\u2019s just going to be one bill. \u2026 This is too big a project,\u201d he said. \u201cThere\u2019s some fairly big conceptual pieces that need to pass the Legislature. It can\u2019t all be done piecemeal, but I think it needs to be an iterative process.\u201d<\/p>\n\n\n\n<p>Sophia Bollag is a San Francisco Chronicle staff writer. Email:&nbsp;<a href=\"mailto:sophia.bollag@sfchronicle.com\">sophia.bollag@sfchronicle.com<\/a>&nbsp;Twitter:&nbsp;<a href=\"https:\/\/twitter.com\/SophiaBollag?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor\">@SophiaBollag<\/a><a href=\"https:\/\/www.sfchronicle.com\/projects\/podcasts\/fifth-and-mission\/\" target=\"_blank\" rel=\"noreferrer noopener\">Fifth &amp; Mission<\/a><\/p>\n\n\n\n<p>Sophia Bollag joined the San Francisco Chronicle as a politics reporter in 2022. She has covered state government from Sacramento since 2016 and has worked at The Sacramento Bee, The Associated Press and the Los Angeles Times. She grew up in the East Bay and graduated from Northwestern University, where she studied journalism and literature.VIEW COMMENTSTop of the News<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.sfchronicle.com\/\"><img decoding=\"async\" src=\"https:\/\/www.sfchronicle.com\/img\/logos\/black\/logo.svg\" alt=\"newspaper's home\"\/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.sfchronicle.com\/img\/core\/hearst_newspapers_logo.svg\" alt=\"HEARST newspapers logo\"\/><\/figure>\n\n\n\n<p>\u00a92022 Hearst<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sophia Bollag April 25, 2022 (SFChronicle.com) The ball is back in&nbsp;Gov. Gavin Newsom&#8217;s&nbsp;court when it comes to creating a single-payer&nbsp;health&nbsp;care system in&nbsp;California. In January, when Newsom was asked if he supported a bill to create a universal, government-run health care system in California, he dodged the question, saying he was&#8230; <a class=\"continue-reading-link\" href=\"https:\/\/occupysf.net\/index.php\/2022\/04\/27\/the-ball-is-back-in-newsoms-court-on-single-payer-health-care-in-california\/\"> Continue reading <span class=\"meta-nav\">&rarr; <\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/posts\/22176"}],"collection":[{"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/comments?post=22176"}],"version-history":[{"count":1,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/posts\/22176\/revisions"}],"predecessor-version":[{"id":22177,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/posts\/22176\/revisions\/22177"}],"wp:attachment":[{"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/media?parent=22176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/categories?post=22176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/occupysf.net\/index.php\/wp-json\/wp\/v2\/tags?post=22176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}