Building the bridge to a national health service

March 11, 2017

Stew Jenkins


In their head-over-heals rush to throw the nation backwards, Republicans are about to provoke the California bear out of hibernation to build its own model for a national health service, like every other industrialized nation has built.

The last time California tried this, 73 percent of voters rejected the proposition. But that was 1994; prosperous times, when health care cost was modest compared to what it is in 2017. Now the cost of staying well siphons off 17 percent of every dollar in the economy – everyone’s economy.

On March 23, 2010, when President Obama was able to sign the Patient Protection and Affordable Care Act (the ACA), there was one thing everyone agreed on.

Whether it was democratic-socialist Bernie Sanders of Vermont, or republican Jim Inhofe of Oklahoma, everyone agreed that it was not good enough. President Obama described the law as a step forward. A step short of the universal coverage he saw as the nation’s ultimate goal. But a step toward achieving the “fifth Freedom” Franklin Roosevelt and Harry Truman sought to assure.

Compromises left the ACA with no “Medicare-for-all” option, no controls over drug company prices, and a system preserving and subsidizing the health insurance industry to bring those behemoths on board. In giving individual states the power to set up their own health care exchanges and expand Medicaid, the lead authors never expected that the majority of republican governors and legislatures would turn down local control or free federal money that would improve the health of their citizens.

But in California, the governor, legislature, and citizenry embraced and built a successful state exchange that has served as a major step toward universal health coverage. By Valentine’s Day this year, Covered California records showed that more than 412,000 new people had enrolled in 2017 than had been covered in 2016.

Even with the Trump administration taking steps to end adverting for new enrollment, the number of folks without health insurance had reached a record low in California.

In fact, it was a woman who spent her formative years in Los Osos and Cal Poly who helped build Covered California’s successful system under the ACA, Ms. Kathleen Keeshen, appointed as deputy director, (in plain English, second in command of the program) to the Board of Directors when Covered California was being stood up. With Mitch McConnell, Paul Ryan, and President Trump’s concerted effort to destroy the Affordable Care Act this month, you will not be surprised that Ms. Keeshen flew out Monday to the District of Columbia for conferences about what the State of California is facing.

No doubt about it, we are facing a collapse in confidence and a breakdown in the federal structures that helped California stand up one of the best working health insurance systems in America. Everywhere it exists a single-payer health care system is less expensive, more efficient, and keeps people healthier longer. This fact cannot seem to penetrate the blind spot of the “free market” zealots, McConnell, Ryan and Trump.

In 1994, the legislature found the funding for a universal California health care plan, an income taxes on corporations and the super wealthy. Then it was rejected by the electorate. But propping up Covered California without federal subsidies and mandates will require revisiting a progressive income tax.

If the public is to consider taxing themselves, the cheaper, more efficient and more effective single-payer should be our state’s goal. Either way, the experience of folks like General Counsel Keeshen will be needed to preserve or build California’s health care system.

Prudent preparation to replace the federal structure and funding takes more than marches. Under the arcane rules of the California Legislature, state representatives have a short time in which to introduce a bill. And, when the Republican Congress and President don’t even know how they are going to gut the Affordable Care Act, setting up a state replacement in the few months allowed for introducing state legislation presents a challenge.

There are two California senators who are doing more than marching. Ricardo Lara, of Long Beach, and Toni Atkins, of San Diego, did not wait. They’ve introduced Senate Bill 526, entitled Californians For a Healthy California.

Short as it is, by proposing that it is “the intent of the Legislature to enact legislation that would establish a comprehensive universal single-payer health care coverage program and a health care cost control system for the benefit of all residents of the state,” it presents the California Legislature with the legislative spine from which to build out a universal California health service available to every resident during the upcoming two-year legislative session. Senator Lara and Atkins deserve support for seeing that something needed to be done to preserve our state’s options.

But they will need more than that. They will need your support and ideas on how to structure and pay for a California health care system.

You can help by sending letters and calls of support to Senator Ricardo Lara, State Capitol, Room 5050, Sacramento, CA 95814; Phone: (916) 651-4033.  And send letters and calls of support to Senator Toni Atkins, State Capitol, Room 4072, Sacramento, CA 95814; Phone: (916) 651-4039; Fax: (916) 651-4939.

More importantly, send copies of those letters of support to our own state senator and assemblyman. Democrat, Bill Monning, needs to know you support a California single-payer health system at his address: State Capitol, Room 313, Sacramento, CA 95814; Phone: (916) 651-4017; Fax: (916) 651-4917.  So does Republican, Jordan Cunningham, 1150 Osos Street, Suite 207, San Luis Obispo, CA 93401; 805-549-3381.

And, for your neighbor Jordan Cunningham, it might be helpful to remind him what another good Republican, Ohio Governor John Kasich, said to a Republican legislator when he was trying to expand Medicaid under the ACA.

“I respect the fact that you believe in small government. I do, too. I also know that you’re a person of faith,” Kasich said. “Now, when you die and get to the meeting with St. Peter, he’s probably not going to ask you much about what you did about keeping government small. But he is going to ask you what you did for the poor. You better have a good answer.”

A single-payer state plan is not just for the poor, it will provide effective health care for all at less cost for all. Now is the right time for California to lead the way.

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Many, many issues relating to health care in California could be addressed if employers of illegal aliens were forced to provide health care for the people they employ.

Clearly I have struck a nerve LA Rams Fan.

If people like you would obey the law and not earn yourselves prison time we might have the tax money to spend on other things like expanded Head Start programs and greater aid to single mothers.

we might even have the money to pay for the existing people who utilize the Medi-Cal program which faces a funding shortfall.

while you were paying your debt to Society for your crimes the rest of us were out working and paying taxes to keep everything else afloat. Now that you’re out, hopefully you have a job and you’re helping to pay your fair share too. Welcome to the club, taxpayer!

LA Rams Fan

Nice to see you are so generous with other people’s money…

Taxpayers already paid to house and shelter you once and now that you’re out its still, “gimme gimme gimme”.

I’m so glad you were generous with yours when I was locked up, thanks Buddy! It was well worth it too; if for no other reason than to hear the likes of you bitch, bitch and bitch some more.

By-the-way, while incarcerated I worked; I fought fires, I built furniture, I milked cows and I clerked, all of which the taxpayers benefitted from to the tune of hundreds of thousand of dollars! How’s that you should ask?!!! By not having even a minimum wage worker doing the job(s) I was doing and paying me maybe $50.00 a month and then taking a portion of that to pay off my restitution fines. I wasn’t a burden on MFer’s like you, Gordo ol’ son! Nope, I was a benefit to you and the state in so many ways. Not like the members of the CCPOA who charge you out the ass for babysitting (the majority of that budget goes to salaries and not to the convict or his or her “gimme’s”).

“Gimme, gimme, gimme”, is that what you said? At least you imply I ask, not like the “take, take and take some more” as you and your kind demand all the f***in’ time! Mostly from the backs of folks like me who work doing jobs that support you and your kind! Selfish ass!

Do me a favor? Next time you respond to one of my posts try and forget where I’ve been and instead where I’m at, it’ll go much better for you and not show your ass so remarkably well… Sport!

One other thing there Gordo;

It was a person much like yourself who showed me I was worth more than a prison cell; a person and his family who took me from Folsom in 1999! They picked me up at the gate and took me home with them. People who are from the complete other end of the spectrum than me; affluent, respected, educated and as conservative as you seem to be. They took me in, gave me a starting point, let me work on their property while I adjusted and then actively tried to help me find a meaningful and well paying job. They succeeded! As I did! I haven’t been back, I haven’t been suspected or arrested since and I am a positive member of my community.

One person made a difference for me that I can never fully repay so I just stay out of trouble as repayment, and you know what? My bill with them is paid in full without one bitch!

Try a little generosity some time, pay a little more in taxes, you can afford it! Then watch how that turns into something tangible, not only for you but for those who would benefit form your generosity. It’s a win win, ya dumb ass! Just don’t be scared…

Here in California, especially in communities like SLO, do you know what it boils down to Stan? This!

The “Izod/Polo” crowd doesn’t want to mingle with the used t-shirt bought from Goodwill service industry crowd! You know, the majority of this states population! No, they want their health care and hospitals like their expensive resorts and their doctors like their brokers, expensive and out of reach of the common man or woman!

It ain’t about care, it ain’t about community! It’s about being better than the next guy! This unhealthy attitude has permeated every part of our culture even to the point of letting a person suffer and or die to keep their status quo! My proof? Just look at Gordos post and you’ll get the prevailing attitude of those who could effect change with their money and position and would rather run than see all of us healthy.

To hell with these ingrates!!! Health Care should be a RIGHT just as much as paying taxes IS the law. It should be a part of our Bill of Rights! A healthy, well cared for human being is a benefit to all of us, ALL OF US! A healthy, well cared for human being is a tax boom! A healthy, well cared for human being is a productive part of our community! And ultimately within the confines of this discussion a healthy, well cared for human being is not a burden on our health care system and would only lower the costs for all of us!

Nah! They’d rather have something to BITCH, BITCH, BITCH about while lettin’ some suffer, suffer and suffer!

Selfish Ass Cowards! One and All…

Bragging about the number of enrolled ignores the fact that doing so means subsidizing most of them.

We make too much money to receive subsidized coverage, so my wife must pay big bucks and a huge deductable.

Then you are really going to enjoy Trumpcare, based on the current program in Congress SLO County people will pay $500-$600 more per year with less benefits.

“We make too much money to receive subsidized coverage” It’s working as intended with the ACA, under Trumpcare you will pay more and the really rich will get a tax break.

Amazing how I don’t have to enjoy Trumpcare at all… since it won’t be a mandatory funding stream for the Democratic special interests that Obamacare is. I’ll buy what I need, not what some idiot nameless faceless bureaucrats bestows on me in their infinite wisdom, like forcing nuns to buy birth control. No doubt you’ll come back with the same ol’ D claims of Grandma will starve in the snow while being eaten by the wolves imported by the mean Republicans, oh wait, it’s the Dimwits brought back the wolves…