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Single Payer Health Care Bill Fails in California

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A controversial proposal which would pave the way for universal health care coverage in California has stalled in the state Senate, amid staunch opposition from business groups. Senate Bill 810 seeks to establish a single-payer health care system to be administered by a new state department, the California Healthcare Agency, which would pool premiums and negotiate pay rates with hospitals and providers.

The bill would create a public-private partnership to provide California residents coverage for medical, dental and vision services, in addition to hospitalization and prescription drug benefits. Dubbed “Medicare for All,” the California Universal Health Care Act failed Thursday on a 19-15 vote, short of the 21 votes needed to advance the bill to the state Assembly. No Republicans voted for the bill; four Democrats abstained, and one voted against passage. For passage this session, SB810 must be sent to the Assembly by a legislative deadline Tuesday.

SB810 was introduced by Sen. Mark Leno (D-San Francisco), who argued the bill would expand access to health care services while lowering costs. “By guaranteeing universal access for all Californians, our single-payer plan will reduce the health care burdens that are hurting families and our state’s economy,” Leno said January 19 after his proposal cleared the Senate Appropriations Committee on a 6-2 vote. Moreover, California spends about $200 billion annually on “a fragmented, inefficient health care system,” which wastes 30 percent of every dollar on administration costs, added Leno, chairman of the Senate Budget and Fiscal Review Committee.

Speaking in opposition to the bill Thursday, Senate Health Committee Vice Chairman Tony Strickland (R-Moorpark) said SB810 enactment would create a mammoth bureaucracy. “Clearly, if you want the compassion of the IRS and the efficiency of the DMV doing your healthcare, this bill is for you,” Strickland quipped. SB810 would not provide financing to run the program, estimated to cost up to $250 billion a year.

The bill is co-sponsored by the California Nurses Association/National Nurses United and the California School Employees Association. It is opposed by a handful of health insurers and business groups, including the California Medical Association, California Chamber of Commerce, the Howard Jarvis Taxpayers Association and the California Farm Bureau Federation.

The California Taxpayers Association, in its opposition, said higher payroll taxes that would be needed to fund a single payer health care system would hinder economic growth and discourage business investment in the Golden State.

The California Association of Health Plans (CAHP), too, urged lawmakers to reject the bill, arguing that eliminating the state’s health-insurance market would be a mistake. “Competitive forces in the private marketplace are vital in health care and must be preserved,” CAHP Director of Legislative Affairs Nick Louizos wrote in a Jan. 20 opposition letter to senators. “California’s premiums are still competitive and in some cases lower than other large markets,” he said. “Competition has been demonstrated, many times over, to achieve a better result than a centrally planned monopoly.” SB810 is nearly identical to a proposal Leno introduced in 2010. The measure failed in the Assembly.

In 2008, Gov. Arnold Schwarzenegger (R) vetoed SB840, a universal health care bill, the California Health Insurance Reliability Act (CHIRA), amid cost concerns.

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About Christopher Rizo

  • Not surprising that the idea for the bill came out of San Francisco, which has run its own successful public health care system for some years.

    But, ideology aside, I do understand Republicans’ cynicism. The State of California doesn’t exactly have a stellar track record of efficiency, largely because the legislature can seldom agree on what day it is, never mind what bills to pass.

  • Igor

    The private health care system now in place looks a lot like what Strickland described:

    a mammoth bureaucracy. “Clearly, if you want the compassion of the IRS and the efficiency of the DMV doing your healthcare, …”

    IIRC it was a California hospital chief who testified that he had a billing clerk for every bed in the hospital, and could only dream of having one nurse per bed.

    The health system doesn’t exist for the benefit of companies, it exists for the benefit people, especially sick people.

  • #1

    The single-payer plan, given efficient administration, ought to eliminate duplication of services and waste. Is there no hope for California?

    Good to see you having churned out an article, Chis. It’s been a long time since your last one.

  • Sorry, wrong Chris.