For many Californians, the proposal of a state-run single-payer health system remains a ‘pie-in-the-sky’ idea, and odds are it could remain that way, especially if leading advocates can’t agree on how to get there.
Democratic leaders and advocates who are looking to transform the current complex health care system are divided on their approach. On one side, a coalition of health, labor and civil rights advocacy groups is standing behind Senate Bill 770, which seeks an incremental path toward “unified financing,” where a statewide system would pay for health care for all residents. This could be single payer or a similar model. The bill would task a workgroup of experts and consumers to come up with next steps in advancing toward this goal and deliver a report to the Legislature by next June.
SB 770 also calls for the Newsom administration to engage the federal government, which would need to approve such a system in California, on this issue. The bill, authored by San Francisco’s Sen. Scott Wiener, is currently making its way through the Legislature — last week it received the green light from the Assembly Health Committee and is headed to a fiscal committee next.
On the other side, the California nurses union, a longtime driving force behind the single-payer movement, opposes Wiener’s bill, arguing it could derail its own legislation, Assembly Bill 1690. That two-year bill authored by Assemblyman Ash Kalra, a San Jose Democrat, would establish a single-payer system dubbed CalCare. The bill was introduced earlier this year, but won’t come up for a hearing until the next legislative session. There are currently no details in the CalCare bill, but union leaders said they are using their previous attempt at single payer, Assembly Bill 1400, as…
Read the full article here
