Why Do So Many Doctors Oppose Single-Payer Health Care?
Will California Create Nation's First Universal Health Care System?
If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care
Jerry Brown Says 'Survival Has to Trump Domestic Issues' in Democratic Primary
Gavin Newsom Walks Fine Line Between Progressive and Pragmatist in Governor's Race
Lawmakers Recommend Small Steps on Health Care, No Single-Payer Yet
Newsom Claims S.F. Street Cred on Single-Payer Issue
Single-Payer Health Care in California? Why Advocates Are Playing the Long Game
Single-Payer Healthcare Divides Gubernatorial Candidates at Town Hall
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For fun, he plays water polo with the San Francisco Tsunami.","avatar":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g","twitter":"scottshafer","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["author"]},{"site":"forum","roles":["subscriber"]}],"headData":{"title":"Scott Shafer | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/scottshafer"},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"mlagos":{"type":"authors","id":"3239","meta":{"index":"authors_1591205172","id":"3239","found":true},"name":"Marisa Lagos","firstName":"Marisa","lastName":"Lagos","slug":"mlagos","email":"mlagos@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"\u003cspan style=\"font-weight: 400;\">Marisa Lagos is a correspondent for KQED’s California Politics and Government Desk and co-hosts a weekly show and podcast, \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown.\u003c/span>\u003c/i> \u003cspan style=\"font-weight: 400;\">At KQED, Lagos conducts reporting, analysis and investigations into state, local and national politics for radio, TV and online. Every week, she and cohost Scott Shafer sit down with political insiders on \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400;\">, where they offer a peek into lives and personalities of those driving politics in California and beyond. \u003c/span>\r\n\r\n\u003cspan style=\"font-weight: 400;\">Previously, she worked for nine years at the San Francisco Chronicle covering San Francisco City Hall and state politics; and at the San Francisco Examiner and Los Angeles Time,. She has won awards for her work investigating the 2017 wildfires and her ongoing coverage of criminal justice issues in California. She lives in San Francisco with her two sons and husband.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twitter":"@mlagos","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Marisa Lagos | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/mlagos"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11902591":{"type":"posts","id":"news_11902591","meta":{"index":"posts_1591205157","site":"news","id":"11902591","score":null,"sort":[1643202119000]},"guestAuthors":[],"slug":"why-do-so-many-doctors-oppose-single-payer-health-care","title":"Why Do So Many Doctors Oppose Single-Payer Health Care?","publishDate":1643202119,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Legislation that \u003ca href=\"https://www.kqed.org/news/11901347/will-california-create-nations-first-universal-health-care-system\">would help create a single-payer health care system in California\u003c/a>, the first of its kind in the nation, faces a crucial test in the next week. The bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\" target=\"_blank\" rel=\"noopener noreferrer\">AB 1400\u003c/a> — must pass the full Assembly by Jan. 31, or it’s dead.\u003c/p>\n\u003cp>The California Nurses Association, the state’s nurses union, is leading the effort to pass AB 1400. But the state's largest association of doctors, the California Medical Association, opposes the bill.\u003c/p>\n\u003cp>“It will disrupt people's health care at the worst possible time,” said Ned Wigglesworth, a spokesperson for Protect California Health Care, a coalition formed to oppose AB 1400. The coalition includes the California Medical Association as a member.\u003c/p>\n\u003cp>“It will force all 40 million Californians into a new untested state government program and will prohibit them from being able to choose private coverage even if they want it,” he said.\u003c/p>\n\u003cp>In nearly all previous attempts to create a single-payer health system in the United States, the fiercest objections have come from doctors, said \u003ca href=\"https://medicareforallbook.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Micah Johnson, co-author of the book \"Medicare for All: A Citizen’s Guide\"\u003c/a> and a practicing internal medicine physician in Boston.\u003c/p>\n\u003cp>Doctor opposition to single-payer may seem counterintuitive — but Johnson said doctors cannot help but view health reform through the lens of what's best for them as well as what's best for their patients. To the extent they're most concerned with changes to their own pay and autonomy, Johnson called doctors \"double agents in the health reform debate for the last century.\"\u003c/p>\n\u003cp>Johnson spoke with KQED's April Dembosky about the history of physician opposition to single-payer.\u003c/p>\n\u003cp>\u003cem>The following interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>April Dembosky: In your book, you call doctors the \"perennial opponents of health reform.\" What events led you to draw that conclusion? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Micah Johnson\u003c/strong>: Doctors have had a century-long history in the health reform debate, usually as the opponents. That started back in the 1910s during the progressive era of reforms. This is after Germany, in 1883, had passed health insurance. In 1911, Great Britain had passed health insurance. It seemed clear that the U.S. would be following suit. And initially, it looked like doctors and the American Medical Association were going to be supporters of the bill. But as the discussions unfolded, doctors turned.\u003c/p>\n\u003cp>\u003cstrong>What were their concerns?\u003c/strong>\u003c/p>\n\u003cp>The top one is really their own pay. And the second one is their autonomy in the practice of medicine. Going back to the 1910s and also in the 1940s, there's this fear that if there is a universal public insurance plan, doctors are going to get paid less.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Micah Johnson, physician and author\"]'I think doctors have been double agents in the health reform debate for the last century ... We wear the hat of medical experts, people who know a lot about what's best for patients, and we also wear a hat that's just our own personal financial interest.'[/pullquote]The most striking example is Harry Truman's health care proposal in the 1940s. This is the first and really only time a sitting U.S. president gave a full-throated endorsement of a single-payer-style, truly universal national health insurance plan.\u003c/p>\n\u003cp>The American Medical Association were the top opponents of the plan. They hired a PR firm called Campaigns Inc. that rose to fame in California, helping to defeat a statewide universal health insurance plan. The American Medical Association put an incredible amount of money behind this at the time: $3.5 million. In today's dollars, that's about $40 million. It was the largest lobbying campaign the nation had ever seen — and it worked.\u003c/p>\n\u003cp>So at the beginning, the public was in support of this national health insurance plan. But then support dwindled over the years — and the vast majority of people had heard of the AMA's opposition to the plan.\u003c/p>\n\u003cp>\u003cstrong>When I talk to doctors who are opposed to the single-payer proposals right now, they say their top concerns are their patients. \u003c/strong>\u003c/p>\n\u003cp>I think doctors have been double agents in the health reform debate for the last century.\u003c/p>\n\u003cp>We wear two hats in these conversations. We wear the hat of medical experts, people who know a lot about what's best for patients, and we also wear a hat that's just our own personal financial interest. I think these things can often get confused and, you know, can be leveraged against each other.\u003c/p>\n\u003cp>\u003cstrong>In the early '60s, there was an early attempt to create a Medicare program for seniors, and back then, doctors hired \u003ca href=\"https://www.youtube.com/watch?v=AYrlDlrLDSQ\" target=\"_blank\" rel=\"noopener noreferrer\">actor Ronald Reagan to speak out\u003c/a> against the idea. He said, “One of the traditional methods of imposing state-ism or socialism on a people, has been by way of medicine. It’s very easy to disguise a medical program as a humanitarian project.”\u003c/strong>\u003c/p>\n\u003cp>Definitely a remarkable moment in the history of health reform, and even though Medicare passed, Ronald Reagan was also elected in a landslide in 1980 and ended up presiding over the Medicare program. So we have all these ironies in health reform.\u003c/p>\n\u003cp>[aside postID=news_11901347 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/01/RS5067_NurseChecksBloodPressure-1020x680.jpg']\u003cstrong>How has doctors' thinking evolved from the early 20th century to the Medicare days, to now? \u003c/strong>\u003c/p>\n\u003cp>I think we're really seeing an evolution.\u003c/p>\n\u003cp>First, in seeing doctors support the Affordable Care Act in 2008, 2009. And then over the last 10 years, we've seen a lot of very interesting developments.\u003c/p>\n\u003cp>For one, a majority of doctors in most polls now support single-payer health care. Secondly, we've seen at the American Medical Association that there's some internal debate about what the stance is going to be. In recent years, at one of the AMA's big meetings, it was actually the medical student chapter that brought up a resolution to try to remove the AMA's opposition to single-payer health care — and it very narrowly failed.\u003c/p>\n\u003cp>It got 47% support. So the AMA still opposes single-payer, but we can see signs that things are changing.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Doctor opposition to single-payer in California may seem counterintuitive — but it's nothing new. Dr. Micah Johnson, author of 'Medicare for All: A Citizen's Guide,' says doctors are 'double agents' in the health care debate, and are most concerned with changes to their pay and autonomy.","status":"publish","parent":0,"modified":1643217048,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1055},"headData":{"title":"Why Do So Many Doctors Oppose Single-Payer Health Care? | KQED","description":"Doctor opposition to single-payer in California may seem counterintuitive — but it's nothing new. Dr. Micah Johnson, author of 'Medicare for All: A Citizen's Guide,' says doctors are 'double agents' in the health care debate, and are most concerned with changes to their pay and autonomy.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Why Do So Many Doctors Oppose Single-Payer Health Care?","datePublished":"2022-01-26T13:01:59.000Z","dateModified":"2022-01-26T17:10:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11902591 https://ww2.kqed.org/news/?p=11902591","disqusUrl":"https://ww2.kqed.org/news/2022/01/26/why-do-so-many-doctors-oppose-single-payer-health-care/","disqusTitle":"Why Do So Many Doctors Oppose Single-Payer Health Care?","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/00d2d454-591e-4c96-a803-ae28011298b7/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11902591/why-do-so-many-doctors-oppose-single-payer-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Legislation that \u003ca href=\"https://www.kqed.org/news/11901347/will-california-create-nations-first-universal-health-care-system\">would help create a single-payer health care system in California\u003c/a>, the first of its kind in the nation, faces a crucial test in the next week. The bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\" target=\"_blank\" rel=\"noopener noreferrer\">AB 1400\u003c/a> — must pass the full Assembly by Jan. 31, or it’s dead.\u003c/p>\n\u003cp>The California Nurses Association, the state’s nurses union, is leading the effort to pass AB 1400. But the state's largest association of doctors, the California Medical Association, opposes the bill.\u003c/p>\n\u003cp>“It will disrupt people's health care at the worst possible time,” said Ned Wigglesworth, a spokesperson for Protect California Health Care, a coalition formed to oppose AB 1400. The coalition includes the California Medical Association as a member.\u003c/p>\n\u003cp>“It will force all 40 million Californians into a new untested state government program and will prohibit them from being able to choose private coverage even if they want it,” he said.\u003c/p>\n\u003cp>In nearly all previous attempts to create a single-payer health system in the United States, the fiercest objections have come from doctors, said \u003ca href=\"https://medicareforallbook.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Micah Johnson, co-author of the book \"Medicare for All: A Citizen’s Guide\"\u003c/a> and a practicing internal medicine physician in Boston.\u003c/p>\n\u003cp>Doctor opposition to single-payer may seem counterintuitive — but Johnson said doctors cannot help but view health reform through the lens of what's best for them as well as what's best for their patients. To the extent they're most concerned with changes to their own pay and autonomy, Johnson called doctors \"double agents in the health reform debate for the last century.\"\u003c/p>\n\u003cp>Johnson spoke with KQED's April Dembosky about the history of physician opposition to single-payer.\u003c/p>\n\u003cp>\u003cem>The following interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>April Dembosky: In your book, you call doctors the \"perennial opponents of health reform.\" What events led you to draw that conclusion? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Micah Johnson\u003c/strong>: Doctors have had a century-long history in the health reform debate, usually as the opponents. That started back in the 1910s during the progressive era of reforms. This is after Germany, in 1883, had passed health insurance. In 1911, Great Britain had passed health insurance. It seemed clear that the U.S. would be following suit. And initially, it looked like doctors and the American Medical Association were going to be supporters of the bill. But as the discussions unfolded, doctors turned.\u003c/p>\n\u003cp>\u003cstrong>What were their concerns?\u003c/strong>\u003c/p>\n\u003cp>The top one is really their own pay. And the second one is their autonomy in the practice of medicine. Going back to the 1910s and also in the 1940s, there's this fear that if there is a universal public insurance plan, doctors are going to get paid less.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I think doctors have been double agents in the health reform debate for the last century ... We wear the hat of medical experts, people who know a lot about what's best for patients, and we also wear a hat that's just our own personal financial interest.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Micah Johnson, physician and author","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The most striking example is Harry Truman's health care proposal in the 1940s. This is the first and really only time a sitting U.S. president gave a full-throated endorsement of a single-payer-style, truly universal national health insurance plan.\u003c/p>\n\u003cp>The American Medical Association were the top opponents of the plan. They hired a PR firm called Campaigns Inc. that rose to fame in California, helping to defeat a statewide universal health insurance plan. The American Medical Association put an incredible amount of money behind this at the time: $3.5 million. In today's dollars, that's about $40 million. It was the largest lobbying campaign the nation had ever seen — and it worked.\u003c/p>\n\u003cp>So at the beginning, the public was in support of this national health insurance plan. But then support dwindled over the years — and the vast majority of people had heard of the AMA's opposition to the plan.\u003c/p>\n\u003cp>\u003cstrong>When I talk to doctors who are opposed to the single-payer proposals right now, they say their top concerns are their patients. \u003c/strong>\u003c/p>\n\u003cp>I think doctors have been double agents in the health reform debate for the last century.\u003c/p>\n\u003cp>We wear two hats in these conversations. We wear the hat of medical experts, people who know a lot about what's best for patients, and we also wear a hat that's just our own personal financial interest. I think these things can often get confused and, you know, can be leveraged against each other.\u003c/p>\n\u003cp>\u003cstrong>In the early '60s, there was an early attempt to create a Medicare program for seniors, and back then, doctors hired \u003ca href=\"https://www.youtube.com/watch?v=AYrlDlrLDSQ\" target=\"_blank\" rel=\"noopener noreferrer\">actor Ronald Reagan to speak out\u003c/a> against the idea. He said, “One of the traditional methods of imposing state-ism or socialism on a people, has been by way of medicine. It’s very easy to disguise a medical program as a humanitarian project.”\u003c/strong>\u003c/p>\n\u003cp>Definitely a remarkable moment in the history of health reform, and even though Medicare passed, Ronald Reagan was also elected in a landslide in 1980 and ended up presiding over the Medicare program. So we have all these ironies in health reform.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11901347","hero":"https://ww2.kqed.org/app/uploads/sites/10/2022/01/RS5067_NurseChecksBloodPressure-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>How has doctors' thinking evolved from the early 20th century to the Medicare days, to now? \u003c/strong>\u003c/p>\n\u003cp>I think we're really seeing an evolution.\u003c/p>\n\u003cp>First, in seeing doctors support the Affordable Care Act in 2008, 2009. And then over the last 10 years, we've seen a lot of very interesting developments.\u003c/p>\n\u003cp>For one, a majority of doctors in most polls now support single-payer health care. Secondly, we've seen at the American Medical Association that there's some internal debate about what the stance is going to be. In recent years, at one of the AMA's big meetings, it was actually the medical student chapter that brought up a resolution to try to remove the AMA's opposition to single-payer health care — and it very narrowly failed.\u003c/p>\n\u003cp>It got 47% support. So the AMA still opposes single-payer, but we can see signs that things are changing.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11902591/why-do-so-many-doctors-oppose-single-payer-health-care","authors":["3205"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_18538","news_17606","news_27626","news_22597","news_29900"],"featImg":"news_11902679","label":"news_72"},"news_11901347":{"type":"posts","id":"news_11901347","meta":{"index":"posts_1591205157","site":"news","id":"11901347","score":null,"sort":[1641939350000]},"guestAuthors":[],"slug":"will-california-create-nations-first-universal-health-care-system","title":"Will California Create Nation's First Universal Health Care System?","publishDate":1641939350,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>\u003cem>Updated 2 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>California Democrats on Tuesday took their first step toward abolishing the private health insurance market in the nation's most populous state and replacing it with a government-run plan that they promised would never deny anyone the care they need.\u003c/p>\n\u003cp>But the proposal that cleared a legislative committee in the state Assembly is still a long way from becoming law. Assembly Bill 1400, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">which would create a universal health care system called CalCare\u003c/a>, faces strong opposition from powerful business interests who say it would cost too much. And even if it does become law, voters would have to approve a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220ACA11\">major income tax increase\u003c/a> to pay for it — a vote that might not happen until 2024.\u003c/p>\n\u003cp>Still, Democrats hailed Tuesday's vote for jump-starting one of their long-stalled policy goals and signaling they won't back away from a fight even during an election year. In an hours-long hearing, some lawmakers and advocates assailed a health care industry they say has benefited corporate interests at the expense of consumers.\u003c/p>\n\u003cp>Ady Barkan, a 38-year-old father of two, was diagnosed with ALS six years ago and now is mostly paralyzed. He testified at Tuesday's hearing with the help of a computerized voice that spoke as he typed using technology that followed the movement of his eyes. Barkan said he has battled his private insurance carrier to get treatment he needed, including suing them to get a ventilator that keeps him alive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Even good health insurance, which I have, does not cover the cost of the care I need to survive,\" he said.\u003c/p>\n\u003cp>The bill that advanced on Tuesday would create the universal health care system — CalCare — and set its rules. It cleared the Assembly Health Committee on an 11-3 vote. Republicans voted no, arguing the bill would cost too much and pay doctors and nurses less, potentially worsening a shortage of health care workers.\u003c/p>\n\u003cp>Assemblymember Ash Kalra, a Democrat from San Jos\u003cspan style=\"font-weight: 400\">é\u003c/span> and the author of the CalCare proposal, said Tuesday it could be 2024 before the tax increase proposal to pay for CalCare made it to the ballot.\u003c/p>\n\u003cp>An \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/01/health-care-taxes-california/\">analysis from CalMatters\u003c/a> breaks down the proposed tax increase:\u003c/p>\n\u003cul>\n\u003cli>A 2.3% excise tax on businesses after their first $2 million in income\u003c/li>\n\u003cli>A 1.25% payroll tax on employers with 50-plus workers\u003c/li>\n\u003cli>An additional 1% payroll tax on wages for resident employees earning more than $49,900\u003c/li>\n\u003cli>A progressive income tax starting at 0.5% for Californians earning more than $149,500, up to 2.5% for people making about $2.5 million annually (with rates being adjusted for inflation)\u003c/li>\n\u003c/ul>\n\u003cp>The California Taxpayers Association, which opposes the plan, estimates it would raise taxes by about $163 billion per year.\u003c/p>\n\u003cp>\"If government-run health care becomes law, millions of Californians will flee the state — either to avoid the $163 billion per year in new taxes or to escape the lengthy waits for care that will become the norm,\" Assembly Republican Leader Marie Waldron said.\u003c/p>\n\u003cp>Even some Democrats who voted for the bill had sharp criticism for the proposal. Assemblymember Autumn Burke, a Democrat from Inglewood, said advancing the bill without a funding source made a mockery of the process.\u003c/p>\n\u003cp>\"This bill has been sold to my community that it is going to change things now and that it is free. And neither one of those things are true,\" she said.\u003c/p>\n\u003cp>Business groups, led by the California Chamber of Commerce, said the government-run health care system would be so expensive that the tax increase still wouldn't be enough to pay for everything. In 2018, California's total health care expenditures totaled $399.2 billion, accounting for 13.2% of the state's gross domestic product, according to an analysis by the Healthy California for All Commission.\u003c/p>\n\u003cp>\"Completely abolishing the current system in face of an unrelenting pandemic by annually taxing Californians hundreds of billions of dollars is not the solution,\" said Preston Young, a policy advocate for the California Chamber of Commerce.\u003c/p>\n\u003cp>Kalra, the San Jos\u003cspan style=\"font-weight: 400\">é\u003c/span> Democrat and author of the proposal, said he knew opponents would focus on how much the plan would cost. But he said that argument distracts from the fact that Californians are already paying \"the highest health tax in the world.\"\u003c/p>\n\u003cp>\"You may refer to it as premiums, deductibles, co-pays, denial of care,\" Kalra said, saying none of those costs would exist under a universal health care system. \"It's clear as day they are being fleeced, and far too many understandably feel helpless about it.\"\u003c/p>\n\u003cp>California's health care system is paid for by multiple entities: patients, insurance companies, employers and government. But a universal health care system would be paid for by a single entity — the government, or the \"single payer.\"\u003c/p>\n\u003cp>A single-payer system has been a staple of California progressive political rhetoric for decades. But it's not been easy to accomplish in a state where most people pay for private health insurance through their jobs. In 1994, voters overwhelmingly rejected a ballot initiative that would have created a universal health care system. Another attempt passed the state Senate in 2017, but it never got a vote in the state Assembly.\u003c/p>\n\u003cp>Questions about how to pay for a single-payer system have doomed previous plans. In 2011, Vermont enacted the nation's first universal health care system in the country. But state officials abandoned it three years later because they said they couldn't afford to pay for it.\u003c/p>\n\u003cp>[aside postID=news_11901253 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg']Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/politics/2021/02/newsom-single-payer-health-care-dilemma/\">promised to do it when he ran for governor in 2018\u003c/a>, and voters elected him in a landslide. But in his first three years in office, Newsom has focused more on making sure everyone in California has health insurance. He has expanded Medi-Cal, the state's health care program for lower-income Californians, to cover people 26 years old and younger and 50 years old and older, regardless of their immigration status. On Monday, \u003ca href=\"https://www.kqed.org/news/11901253/flush-with-cash-governor-newsom-wants-to-invest-in-pandemic-response-universal-health-access-fighting-inequality\">Newsom proposed extending Medi-Cal again, this time to all eligible Californians\u003c/a>, regardless of immigration status, older than 26 and younger than 50, at a potential cost of $2.7 billion per year.\u003c/p>\n\u003cp>Also on Monday, Newsom reiterated his support for a universal health care system, but declined to say whether he supported the plan in the Legislature \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/01/california-health-insurance-newsom/\">because he said he had not read it\u003c/a>. Asked if he had \"given up\" on a universal health care system in California, Newsom pointed to a commission he founded that is examining such a system and how much it would cost.\u003c/p>\n\u003cp>He also said he's working with President Joe Biden's administration on the \"flexibility\" required for California to implement such a system.\u003c/p>\n\u003cp>\"When you're governor, you've got to be in the 'how' business,\" Newsom said. \"I believe in a single-payer financing model. The 'how' at the state level is the question that needs to be answered thoughtfully.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Adam Beam of The Associated Press.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The Assembly on Tuesday took the first step toward establishing a universal health care system in the state, called CalCare. But it's a long way from becoming law.","status":"publish","parent":0,"modified":1642031306,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1198},"headData":{"title":"Will California Create Nation's First Universal Health Care System? | KQED","description":"The Assembly on Tuesday took the first step toward establishing a universal health care system in the state, called CalCare. But it's a long way from becoming law.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Will California Create Nation's First Universal Health Care System?","datePublished":"2022-01-11T22:15:50.000Z","dateModified":"2022-01-12T23:48:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11901347 https://ww2.kqed.org/news/?p=11901347","disqusUrl":"https://ww2.kqed.org/news/2022/01/11/will-california-create-nations-first-universal-health-care-system/","disqusTitle":"Will California Create Nation's First Universal Health Care System?","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/b966d5d9-9c66-445d-a0d5-ae1b0115cdd8/audio.mp3","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11901347/will-california-create-nations-first-universal-health-care-system","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 2 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>California Democrats on Tuesday took their first step toward abolishing the private health insurance market in the nation's most populous state and replacing it with a government-run plan that they promised would never deny anyone the care they need.\u003c/p>\n\u003cp>But the proposal that cleared a legislative committee in the state Assembly is still a long way from becoming law. Assembly Bill 1400, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">which would create a universal health care system called CalCare\u003c/a>, faces strong opposition from powerful business interests who say it would cost too much. And even if it does become law, voters would have to approve a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220ACA11\">major income tax increase\u003c/a> to pay for it — a vote that might not happen until 2024.\u003c/p>\n\u003cp>Still, Democrats hailed Tuesday's vote for jump-starting one of their long-stalled policy goals and signaling they won't back away from a fight even during an election year. In an hours-long hearing, some lawmakers and advocates assailed a health care industry they say has benefited corporate interests at the expense of consumers.\u003c/p>\n\u003cp>Ady Barkan, a 38-year-old father of two, was diagnosed with ALS six years ago and now is mostly paralyzed. He testified at Tuesday's hearing with the help of a computerized voice that spoke as he typed using technology that followed the movement of his eyes. Barkan said he has battled his private insurance carrier to get treatment he needed, including suing them to get a ventilator that keeps him alive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Even good health insurance, which I have, does not cover the cost of the care I need to survive,\" he said.\u003c/p>\n\u003cp>The bill that advanced on Tuesday would create the universal health care system — CalCare — and set its rules. It cleared the Assembly Health Committee on an 11-3 vote. Republicans voted no, arguing the bill would cost too much and pay doctors and nurses less, potentially worsening a shortage of health care workers.\u003c/p>\n\u003cp>Assemblymember Ash Kalra, a Democrat from San Jos\u003cspan style=\"font-weight: 400\">é\u003c/span> and the author of the CalCare proposal, said Tuesday it could be 2024 before the tax increase proposal to pay for CalCare made it to the ballot.\u003c/p>\n\u003cp>An \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/01/health-care-taxes-california/\">analysis from CalMatters\u003c/a> breaks down the proposed tax increase:\u003c/p>\n\u003cul>\n\u003cli>A 2.3% excise tax on businesses after their first $2 million in income\u003c/li>\n\u003cli>A 1.25% payroll tax on employers with 50-plus workers\u003c/li>\n\u003cli>An additional 1% payroll tax on wages for resident employees earning more than $49,900\u003c/li>\n\u003cli>A progressive income tax starting at 0.5% for Californians earning more than $149,500, up to 2.5% for people making about $2.5 million annually (with rates being adjusted for inflation)\u003c/li>\n\u003c/ul>\n\u003cp>The California Taxpayers Association, which opposes the plan, estimates it would raise taxes by about $163 billion per year.\u003c/p>\n\u003cp>\"If government-run health care becomes law, millions of Californians will flee the state — either to avoid the $163 billion per year in new taxes or to escape the lengthy waits for care that will become the norm,\" Assembly Republican Leader Marie Waldron said.\u003c/p>\n\u003cp>Even some Democrats who voted for the bill had sharp criticism for the proposal. Assemblymember Autumn Burke, a Democrat from Inglewood, said advancing the bill without a funding source made a mockery of the process.\u003c/p>\n\u003cp>\"This bill has been sold to my community that it is going to change things now and that it is free. And neither one of those things are true,\" she said.\u003c/p>\n\u003cp>Business groups, led by the California Chamber of Commerce, said the government-run health care system would be so expensive that the tax increase still wouldn't be enough to pay for everything. In 2018, California's total health care expenditures totaled $399.2 billion, accounting for 13.2% of the state's gross domestic product, according to an analysis by the Healthy California for All Commission.\u003c/p>\n\u003cp>\"Completely abolishing the current system in face of an unrelenting pandemic by annually taxing Californians hundreds of billions of dollars is not the solution,\" said Preston Young, a policy advocate for the California Chamber of Commerce.\u003c/p>\n\u003cp>Kalra, the San Jos\u003cspan style=\"font-weight: 400\">é\u003c/span> Democrat and author of the proposal, said he knew opponents would focus on how much the plan would cost. But he said that argument distracts from the fact that Californians are already paying \"the highest health tax in the world.\"\u003c/p>\n\u003cp>\"You may refer to it as premiums, deductibles, co-pays, denial of care,\" Kalra said, saying none of those costs would exist under a universal health care system. \"It's clear as day they are being fleeced, and far too many understandably feel helpless about it.\"\u003c/p>\n\u003cp>California's health care system is paid for by multiple entities: patients, insurance companies, employers and government. But a universal health care system would be paid for by a single entity — the government, or the \"single payer.\"\u003c/p>\n\u003cp>A single-payer system has been a staple of California progressive political rhetoric for decades. But it's not been easy to accomplish in a state where most people pay for private health insurance through their jobs. In 1994, voters overwhelmingly rejected a ballot initiative that would have created a universal health care system. Another attempt passed the state Senate in 2017, but it never got a vote in the state Assembly.\u003c/p>\n\u003cp>Questions about how to pay for a single-payer system have doomed previous plans. In 2011, Vermont enacted the nation's first universal health care system in the country. But state officials abandoned it three years later because they said they couldn't afford to pay for it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11901253","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/politics/2021/02/newsom-single-payer-health-care-dilemma/\">promised to do it when he ran for governor in 2018\u003c/a>, and voters elected him in a landslide. But in his first three years in office, Newsom has focused more on making sure everyone in California has health insurance. He has expanded Medi-Cal, the state's health care program for lower-income Californians, to cover people 26 years old and younger and 50 years old and older, regardless of their immigration status. On Monday, \u003ca href=\"https://www.kqed.org/news/11901253/flush-with-cash-governor-newsom-wants-to-invest-in-pandemic-response-universal-health-access-fighting-inequality\">Newsom proposed extending Medi-Cal again, this time to all eligible Californians\u003c/a>, regardless of immigration status, older than 26 and younger than 50, at a potential cost of $2.7 billion per year.\u003c/p>\n\u003cp>Also on Monday, Newsom reiterated his support for a universal health care system, but declined to say whether he supported the plan in the Legislature \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/01/california-health-insurance-newsom/\">because he said he had not read it\u003c/a>. Asked if he had \"given up\" on a universal health care system in California, Newsom pointed to a commission he founded that is examining such a system and how much it would cost.\u003c/p>\n\u003cp>He also said he's working with President Joe Biden's administration on the \"flexibility\" required for California to implement such a system.\u003c/p>\n\u003cp>\"When you're governor, you've got to be in the 'how' business,\" Newsom said. \"I believe in a single-payer financing model. The 'how' at the state level is the question that needs to be answered thoughtfully.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Adam Beam of The Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11901347/will-california-create-nations-first-universal-health-care-system","authors":["237"],"programs":["news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_18538","news_27626","news_16","news_20202","news_2605","news_17968","news_22597","news_29900","news_30493"],"featImg":"news_11901383","label":"news_72"},"news_11888480":{"type":"posts","id":"news_11888480","meta":{"index":"posts_1591205157","site":"news","id":"11888480","score":null,"sort":[1631655009000]},"guestAuthors":[],"slug":"if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","title":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","publishDate":1631655009,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.\u003c/p>\n\u003cp>And the leaders of California’s single-payer movement will want their due.\u003c/p>\n\u003cp>Publicly, union leaders say they’re standing with Newsom because he has displayed political courage during the coronavirus pandemic by taking actions such as imposing the nation’s first statewide stay-at-home order. But behind the scenes, they are aggressively pressuring him to follow through on his 2018 campaign pledge to establish a government-run, single-payer health care system.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of the National Union of Healthcare Workers, which is urging Newsom to get federal permission to fund such a system.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Stephanie Roberson, California Nurses Association\"]'This is about life or death for us. It’s not only about single-payer. It’s about infection control.'[/pullquote]Another union, the California Nurses Association, is pushing Newsom to back state legislation early next year to do away with private health insurance and create a single-payer system. But “first, everyone needs to get out and vote no on this recall,” said Stephanie Roberson, the union’s lead lobbyist.\u003c/p>\n\u003cp>“This is about life or death for us. It’s not only about single-payer. It’s about infection control. It’s about Democratic and working-class values,” she said. “We lose if Republicans take over.”\u003c/p>\n\u003cp>Together, the unions have made hundreds of thousands of dollars in political contributions, \u003ca href=\"https://youtu.be/DUxw0PbHefI\">funded anti-recall ads\u003c/a> and phone-banked to defend Newsom. The \u003ca href=\"https://www.politico.com/states/california/story/2021/09/02/newsom-has-strong-support-in-latest-california-recall-survey-1390636\">latest polling indicates Newsom will survive\u003c/a> Tuesday’s recall election, which has become a battle between Democratic ideals and Republican angst over government coronavirus mandates. The Democratic Party closed ranks around the governor early and kept well-known Democratic contenders off the ballot, leaving liberal voters with little choice other than Newsom.\u003c/p>\n\u003cp>“This is a crucial moment for Newsom, and for his supporters who are lining up behind him,” said Mark Peterson, a professor of public policy, political science and law at UCLA who specializes in the politics of health care. “They’re helping him stay in office, but that comes with an expectation for some action.”\u003c/p>\n\u003cp>But it’s not clear that Newsom — who will face competing demands to pay back other supporters pushing for stronger action on homelessness, climate change and public safety — could deliver such a massive shift.\u003c/p>\n\u003cp>Reorganizing the health system under a single-payer financing model would be tremendously expensive — \u003ca href=\"https://khn.org/news/tab-for-single-payer-proposal-in-california-could-run-400-billion/\">around $400 billion a year\u003c/a> — and difficult to achieve politically, largely because it would require tax increases.\u003c/p>\n\u003cp>[aside label ='More on Health Care' tag='health-care']The concept already faces fierce opposition from some of Newsom’s strongest supporters, including insurer \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1147130&session=2021&view=activity\">Blue Shield of California\u003c/a> and the \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1146797&session=2021&view=activity\">California Medical Association\u003c/a>, which represents doctors.\u003c/p>\n\u003cp>No state has a single-payer system. Vermont tried to implement one, but its former governor, a Democrat, \u003ca href=\"https://www.vpr.org/vpr-news/2014-12-17/shumlin-its-not-the-right-time-for-single-payer\">abandoned his plan in 2014\u003c/a> partly because of \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article201541734.html\">opposition to tax increases\u003c/a>. California would not only need to raise taxes, but also likely would have to seek voter approval to change the state constitution, and \u003ca href=\"https://www.healthaffairs.org/do/10.1377/hblog20190207.806149/full/\">get permission from the federal government\u003c/a> to use money allocated for Medicare and Medicaid to help fund the new system.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">last big push for single-payer in California ended in 2017\u003c/a> because it did not adequately address financing and other challenges. Leading up to the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\">2018 gubernatorial election\u003c/a>, Newsom campaigned on single-payer health care, telling supporters “you have my firm and absolute commitment as your next governor that I will lead the effort to get it done,” and \u003ca href=\"https://www.youtube.com/watch?v=8YuReziwss0\">“single-payer is the way to go.”\u003c/a>\u003c/p>\n\u003cp>In office, though, Newsom has distanced himself from that promise as he has expanded the existing health care system, which relies on a mix of public and private insurance company payers. For instance, he and Democratic lawmakers imposed a health insurance mandate on Californians and expanded public coverage for lower-income people, both of which enrich health insurers.\u003c/p>\n\u003cp>Newsom has, however, \u003ca href=\"https://www.chhs.ca.gov/healthycaforall/\">convened a commission to study single-payer\u003c/a> and in late May \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Letter-to-President-Biden_05.25.2021.pdf\">wrote to President Joe Biden\u003c/a>, asking him to work with Congress to pass legislation giving states freedom and financing to establish single-payer systems. “California’s spirit of innovation is stifled by federal limits,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_11888489\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg class=\"size-full wp-image-11888489\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg\" alt='Protesters hold up a sign that reads, \"Medicare for All! Defeat the Recall! Healthy California Now.\"' width=\"1350\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg 1350w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-160x107.jpg 160w\" sizes=\"(max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Activists, including those from the National Union of Healthcare Workers (NUHW), demonstrate in Sacramento on June 15, 2021, to push Gov. Gavin Newsom to enact single-payer health care and defend him from the Republican-driven recall campaign. “I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of NUHW. \u003ccite>(Angela Hart/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom’s recall campaign, asked about his stance on single-payer, referred questions to his administration. The governor’s office said in prepared comments that Newsom remains committed to the idea.\u003c/p>\n\u003cp>“Governor Newsom has consistently said that single-payer health care is where we need to be,” spokesperson Alex Stack wrote. “It’s just a question of how we get there.”\u003c/p>\n\u003cp>Stack also highlighted \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a new initiative that will build up the state’s public health insurance program, Medi-Cal\u003c/a>, saying it “paves a path toward a single-payer principled system.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Brandon Harami, Democratic Party’s Progressive Caucus\"]'Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.'[/pullquote]Activists say Newsom has let them down on single-payer but are standing behind him because he represents their best shot at obtaining it. However, some say they’re not willing to wait long. If Newsom doesn’t embrace single-payer soon, liberal activists say, they will look for a Democratic alternative when he comes up for reelection next year.\u003c/p>\n\u003cp>“Newsom is an establishment candidate, and we as Democrats aren’t shy about ripping the endorsement out from under someone who doesn’t share our values,” said Brandon Harami, Bay Area vice chair of the state Democratic Party’s Progressive Caucus, who opposes the recall. “Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.”\u003c/p>\n\u003cp>State Assemblymember Ash Kalra (D-San José), who also opposes the recall, will \u003ca href=\"https://khn.org/news/article/new-single-payer-bill-intensifies-newsoms-political-peril/\">reintroduce his single-payer bill\u003c/a>, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">AB 1400\u003c/a>, in January after he paused it earlier this year to work on a financing plan. Its chief sponsor is the California Nurses Association.\u003c/p>\n\u003cp>Using lessons learned from the \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">failed 2017 attempt to pass single-payer legislation\u003c/a>, the nurses union is deploying activists to pressure state and local lawmakers into supporting the bill. \u003ca href=\"https://clkrep.lacity.org/onlinedocs/2021/21-0002-S83_reso_03-24-21.pdf\">Resolutions have been approved or are pending\u003c/a> in multiple cities.\u003c/p>\n\u003cp>“This is an opportunity for California to lead the way on health care,” Los Angeles City Councilmember Mike Bonin said before an 11-0 vote backing Kalra’s single-payer bill in late August.\u003c/p>\n\u003cp>Kalra argued that support from Los Angeles shows his bill is gaining momentum. He also is preparing a new strategy to take on doctors, hospitals, health insurers and other health industry players that oppose single-payer: highlighting their profits.\u003c/p>\n\u003cp>“They are the No. 1 obstacle to this passing,” Kalra said. “They’re going to do whatever they can to discredit me and this movement, but I’m going to turn the mirror around on them and ask why we should continue to pay for wild profits.”\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='recall']An industry coalition called Californians Against the Costly Disruption of Our Health Care was instrumental in killing the 2017 single-payer bill and is already lobbying against Kalra’s measure. The group again argues that single-payer would push people off Medicare and private employer plans and result in less choice in health insurance.\u003c/p>\n\u003cp>Single-payer would “force these millions of Californians who like their health care into a single new, untested government program with no guarantee they could keep their doctor,” coalition spokesperson Ned Wigglesworth said in a statement.\u003c/p>\n\u003cp>Bob Ross, president and CEO of the California Endowment, a nonprofit that works to expand health care access, is on Newsom’s single-payer commission. He said it will work through “tension” in the coming months before issuing a recommendation to the governor on the feasibility of single-payer.\u003c/p>\n\u003cp>“We have a camp of single-payer zealots who want the bold stroke of getting to single-payer tomorrow, and the other approach that I call bold incrementalism,” Ross said. “I’m not ruling out any bold stroke on single-payer. I would just want to know how we get it done.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"During the recall election, health care unions strongly supported Gov. Gavin Newsom and they are now expecting that if he wins, he makes single-payer health care a reality in California.","status":"publish","parent":0,"modified":1631665843,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1549},"headData":{"title":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care | KQED","description":"During the recall election, health care unions strongly supported Gov. Gavin Newsom and they are now expecting that if he wins, he makes single-payer health care a reality in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","datePublished":"2021-09-14T21:30:09.000Z","dateModified":"2021-09-15T00:30:43.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11888480 https://ww2.kqed.org/news/?p=11888480","disqusUrl":"https://ww2.kqed.org/news/2021/09/14/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care/","disqusTitle":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","source":"Kaiser Health News","sourceUrl":"https://khn.org/","nprByline":"\u003ca href=\"https://khn.org/news/author/angela-hart/\">Angela Hart\u003c/a>","path":"/news/11888480/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.\u003c/p>\n\u003cp>And the leaders of California’s single-payer movement will want their due.\u003c/p>\n\u003cp>Publicly, union leaders say they’re standing with Newsom because he has displayed political courage during the coronavirus pandemic by taking actions such as imposing the nation’s first statewide stay-at-home order. But behind the scenes, they are aggressively pressuring him to follow through on his 2018 campaign pledge to establish a government-run, single-payer health care system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of the National Union of Healthcare Workers, which is urging Newsom to get federal permission to fund such a system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This is about life or death for us. It’s not only about single-payer. It’s about infection control.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Stephanie Roberson, California Nurses Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Another union, the California Nurses Association, is pushing Newsom to back state legislation early next year to do away with private health insurance and create a single-payer system. But “first, everyone needs to get out and vote no on this recall,” said Stephanie Roberson, the union’s lead lobbyist.\u003c/p>\n\u003cp>“This is about life or death for us. It’s not only about single-payer. It’s about infection control. It’s about Democratic and working-class values,” she said. “We lose if Republicans take over.”\u003c/p>\n\u003cp>Together, the unions have made hundreds of thousands of dollars in political contributions, \u003ca href=\"https://youtu.be/DUxw0PbHefI\">funded anti-recall ads\u003c/a> and phone-banked to defend Newsom. The \u003ca href=\"https://www.politico.com/states/california/story/2021/09/02/newsom-has-strong-support-in-latest-california-recall-survey-1390636\">latest polling indicates Newsom will survive\u003c/a> Tuesday’s recall election, which has become a battle between Democratic ideals and Republican angst over government coronavirus mandates. The Democratic Party closed ranks around the governor early and kept well-known Democratic contenders off the ballot, leaving liberal voters with little choice other than Newsom.\u003c/p>\n\u003cp>“This is a crucial moment for Newsom, and for his supporters who are lining up behind him,” said Mark Peterson, a professor of public policy, political science and law at UCLA who specializes in the politics of health care. “They’re helping him stay in office, but that comes with an expectation for some action.”\u003c/p>\n\u003cp>But it’s not clear that Newsom — who will face competing demands to pay back other supporters pushing for stronger action on homelessness, climate change and public safety — could deliver such a massive shift.\u003c/p>\n\u003cp>Reorganizing the health system under a single-payer financing model would be tremendously expensive — \u003ca href=\"https://khn.org/news/tab-for-single-payer-proposal-in-california-could-run-400-billion/\">around $400 billion a year\u003c/a> — and difficult to achieve politically, largely because it would require tax increases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Health Care ","tag":"health-care"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The concept already faces fierce opposition from some of Newsom’s strongest supporters, including insurer \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1147130&session=2021&view=activity\">Blue Shield of California\u003c/a> and the \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1146797&session=2021&view=activity\">California Medical Association\u003c/a>, which represents doctors.\u003c/p>\n\u003cp>No state has a single-payer system. Vermont tried to implement one, but its former governor, a Democrat, \u003ca href=\"https://www.vpr.org/vpr-news/2014-12-17/shumlin-its-not-the-right-time-for-single-payer\">abandoned his plan in 2014\u003c/a> partly because of \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article201541734.html\">opposition to tax increases\u003c/a>. California would not only need to raise taxes, but also likely would have to seek voter approval to change the state constitution, and \u003ca href=\"https://www.healthaffairs.org/do/10.1377/hblog20190207.806149/full/\">get permission from the federal government\u003c/a> to use money allocated for Medicare and Medicaid to help fund the new system.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">last big push for single-payer in California ended in 2017\u003c/a> because it did not adequately address financing and other challenges. Leading up to the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\">2018 gubernatorial election\u003c/a>, Newsom campaigned on single-payer health care, telling supporters “you have my firm and absolute commitment as your next governor that I will lead the effort to get it done,” and \u003ca href=\"https://www.youtube.com/watch?v=8YuReziwss0\">“single-payer is the way to go.”\u003c/a>\u003c/p>\n\u003cp>In office, though, Newsom has distanced himself from that promise as he has expanded the existing health care system, which relies on a mix of public and private insurance company payers. For instance, he and Democratic lawmakers imposed a health insurance mandate on Californians and expanded public coverage for lower-income people, both of which enrich health insurers.\u003c/p>\n\u003cp>Newsom has, however, \u003ca href=\"https://www.chhs.ca.gov/healthycaforall/\">convened a commission to study single-payer\u003c/a> and in late May \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Letter-to-President-Biden_05.25.2021.pdf\">wrote to President Joe Biden\u003c/a>, asking him to work with Congress to pass legislation giving states freedom and financing to establish single-payer systems. “California’s spirit of innovation is stifled by federal limits,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_11888489\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg class=\"size-full wp-image-11888489\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg\" alt='Protesters hold up a sign that reads, \"Medicare for All! Defeat the Recall! Healthy California Now.\"' width=\"1350\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg 1350w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-160x107.jpg 160w\" sizes=\"(max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Activists, including those from the National Union of Healthcare Workers (NUHW), demonstrate in Sacramento on June 15, 2021, to push Gov. Gavin Newsom to enact single-payer health care and defend him from the Republican-driven recall campaign. “I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of NUHW. \u003ccite>(Angela Hart/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom’s recall campaign, asked about his stance on single-payer, referred questions to his administration. The governor’s office said in prepared comments that Newsom remains committed to the idea.\u003c/p>\n\u003cp>“Governor Newsom has consistently said that single-payer health care is where we need to be,” spokesperson Alex Stack wrote. “It’s just a question of how we get there.”\u003c/p>\n\u003cp>Stack also highlighted \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a new initiative that will build up the state’s public health insurance program, Medi-Cal\u003c/a>, saying it “paves a path toward a single-payer principled system.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Brandon Harami, Democratic Party’s Progressive Caucus","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Activists say Newsom has let them down on single-payer but are standing behind him because he represents their best shot at obtaining it. However, some say they’re not willing to wait long. If Newsom doesn’t embrace single-payer soon, liberal activists say, they will look for a Democratic alternative when he comes up for reelection next year.\u003c/p>\n\u003cp>“Newsom is an establishment candidate, and we as Democrats aren’t shy about ripping the endorsement out from under someone who doesn’t share our values,” said Brandon Harami, Bay Area vice chair of the state Democratic Party’s Progressive Caucus, who opposes the recall. “Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.”\u003c/p>\n\u003cp>State Assemblymember Ash Kalra (D-San José), who also opposes the recall, will \u003ca href=\"https://khn.org/news/article/new-single-payer-bill-intensifies-newsoms-political-peril/\">reintroduce his single-payer bill\u003c/a>, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">AB 1400\u003c/a>, in January after he paused it earlier this year to work on a financing plan. Its chief sponsor is the California Nurses Association.\u003c/p>\n\u003cp>Using lessons learned from the \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">failed 2017 attempt to pass single-payer legislation\u003c/a>, the nurses union is deploying activists to pressure state and local lawmakers into supporting the bill. \u003ca href=\"https://clkrep.lacity.org/onlinedocs/2021/21-0002-S83_reso_03-24-21.pdf\">Resolutions have been approved or are pending\u003c/a> in multiple cities.\u003c/p>\n\u003cp>“This is an opportunity for California to lead the way on health care,” Los Angeles City Councilmember Mike Bonin said before an 11-0 vote backing Kalra’s single-payer bill in late August.\u003c/p>\n\u003cp>Kalra argued that support from Los Angeles shows his bill is gaining momentum. He also is preparing a new strategy to take on doctors, hospitals, health insurers and other health industry players that oppose single-payer: highlighting their profits.\u003c/p>\n\u003cp>“They are the No. 1 obstacle to this passing,” Kalra said. “They’re going to do whatever they can to discredit me and this movement, but I’m going to turn the mirror around on them and ask why we should continue to pay for wild profits.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"recall"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>An industry coalition called Californians Against the Costly Disruption of Our Health Care was instrumental in killing the 2017 single-payer bill and is already lobbying against Kalra’s measure. The group again argues that single-payer would push people off Medicare and private employer plans and result in less choice in health insurance.\u003c/p>\n\u003cp>Single-payer would “force these millions of Californians who like their health care into a single new, untested government program with no guarantee they could keep their doctor,” coalition spokesperson Ned Wigglesworth said in a statement.\u003c/p>\n\u003cp>Bob Ross, president and CEO of the California Endowment, a nonprofit that works to expand health care access, is on Newsom’s single-payer commission. He said it will work through “tension” in the coming months before issuing a recommendation to the governor on the feasibility of single-payer.\u003c/p>\n\u003cp>“We have a camp of single-payer zealots who want the bold stroke of getting to single-payer tomorrow, and the other approach that I call bold incrementalism,” Ross said. “I’m not ruling out any bold stroke on single-payer. I would just want to know how we get it done.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11888480/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","authors":["byline_news_11888480"],"categories":["news_457","news_8","news_13"],"tags":["news_28642","news_16","news_24939","news_20482","news_29901","news_21789","news_28963","news_21509","news_29647","news_22597","news_29900","news_794"],"featImg":"news_11888487","label":"source_news_11888480"},"news_11795982":{"type":"posts","id":"news_11795982","meta":{"index":"posts_1591205157","site":"news","id":"11795982","score":null,"sort":[1579046859000]},"guestAuthors":[],"slug":"jerry-brown-says-survival-has-to-trump-domestic-issues-in-democratic-primary","title":"Jerry Brown Says 'Survival Has to Trump Domestic Issues' in Democratic Primary","publishDate":1579046859,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>A focus on existential issues facing America, namely climate change and the threat of nuclear blunder, should be given higher priority by the Democratic candidates for president, former California Gov. Jerry Brown said.\u003c/p>\n\u003cp>\"I do think survival has to trump domestic issues,\" Brown told a live audience at San Francisco’s Herbst Theater on Monday night.\u003c/p>\n\u003cp>Brown shared thoughts on the 2020 election, and his views on state and national politics at the launch of KQED’s new series about his life and career, \u003ca href=\"https://www.kqed.org/podcasts/jerrybrown\">\"The Political Mind of Jerry Brown.\"\u003c/a>\u003c/p>\n\u003cp>A three-time presidential candidate, Brown lamented the focus on domestic policy divisions between the candidates — both in their stated plans and questions asked during debates.\u003c/p>\n\u003cp>\"I think there is a disconnect between the process of selecting the president, and what the president has to do when he gets there,\" Brown said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Former California Gov. Jerry Brown on issues he would like Democratic candidates for president to raise']'For me, climate change, the threat of nuclear mistake, those are big issues. But it’s hard to bring that up. It’s complicated, it’s not news of the day.'[/pullquote]While Brown admitted that he hasn't watched most of the Democratic debates, (\"since we don’t have a television at my [Colusa County] ranch,\") he questioned the focus on issues like single-payer health care.\u003c/p>\n\u003cp>\"That’s not the most illuminating way to display the big issues of the country. I don’t think the big issues get the same focus in this kind of process,\" he added. \"For me, climate change, the threat of nuclear mistake, those are big issues. But it’s hard to bring that up. It’s complicated, it’s not news of the day.\"\u003c/p>\n\u003cp>Brown also threw cold water on the emphasis that candidates, most notably Massachusetts Sen. Elizabeth Warren, have put on sharing detailed plans on issues like taxation, student debt and health care.\u003c/p>\n\u003cp>\"I don’t think you have to give all these plans,\" he said. \"You have an idea, a value, a vision. Then you have to have the imagination or skill to get it done.\"\u003c/p>\n\u003cp>Brown declined to endorse a presidential candidate or weigh in on a potential November ballot measure that could raise property taxes on some California businesses.\u003c/p>\n\u003cp>At Monday's event, Brown fielded questions from KQED politics editor Scott Shafer and members of the audience. The conversation also steered into issues at the state Capitol, which Brown left last year after his fourth term as governor.\u003c/p>\n\u003cp>Brown pushed back against possible changes coming to his signature education program: the Local Control Funding Formula.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Former California Gov. Jerry Brown, when asked about similarities between his first year in the governor’s office, in 1975, and Newsom’s first year']'He's young and he has a lot of hair.'[/pullquote]The LCFF, enacted in 2013 during Brown's third term as governor, was an effort to return educational decision-making closer to the classroom. It sent money to school districts with high percentages of low-income students and English-language learners, changing the practice of directing funding through a complicated web of specific programs that came with more strings attached.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.auditor.ca.gov/reports/2019-101/index.html\">state audit\u003c/a> released last year said California was not doing enough to track how districts were spending the money and that \"neither state nor local stakeholders have adequate information to assess the impact of those funds on intended student groups.\"\u003c/p>\n\u003cp>In response to the audit, state lawmakers have \u003ca href=\"https://calmatters.org/education/2020/01/follow-the-money-are-changes-coming-for-california-school-funding-law/\">introduced bills\u003c/a> to increase state oversight over the LCFF funds.\u003c/p>\n\u003cp>During his state budget presentation, Gov. Gavin Newsom said he supports the Local Control Funding Formula, but called for \"more transparency\" and \"more accountability\" around it.\u003c/p>\n\u003cp>On Monday night, Brown acknowledged that change is likely coming to his signature education initiative, but warned of increasing the state's administrative overhead.\u003c/p>\n\u003cp>\"If you put in more programs, you have to have more rules. How do you know when a rule is broken? Well you have to have an audit, you have to send in inspectors and inspectors have to file a report. If you file a report, you have to have a committee hearing. Once you have a committee hearing, then you have to make a new rule,\" Brown said.\u003c/p>\n\u003cp>[aside label=\"The Political Mind of Jerry Brown\" link1=\"https://www.kqed.org/podcasts/jerrybrown, Listen to the podcast\" hero='https://ww2.kqed.org/app/uploads/sites/10/2020/01/THE-EYE-1020x765.jpg']\u003c/p>\n\u003cp>\"Pretty soon, you’re going to find out a huge percentage of education money is going to the inspectors, going to the data collectors, going to everybody but the teachers,\" he added. \"I would say give the money to the teachers and take your chances.\"\u003c/p>\n\u003cp>Brown also weighed in on the political ambitions of Newsom, his successor in the governor's office.\u003c/p>\n\u003cp>\"All governors of California want to be president,\" quipped Brown, who pursued the nation's highest office during both his first and second terms in office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Asked about similarities between his first year in the governor's office, in 1975, and Newsom's first year, Brown replied, \"He's young and he has a lot of hair.\"\u003c/p>\n\n","blocks":[],"excerpt":"A focus on existential issues facing America, namely climate change and the threat of nuclear blunder, should be given higher priority by the Democratic candidates for president, Brown said.","status":"publish","parent":0,"modified":1582144614,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":897},"headData":{"title":"Jerry Brown Says 'Survival Has to Trump Domestic Issues' in Democratic Primary | KQED","description":"A focus on existential issues facing America, namely climate change and the threat of nuclear blunder, should be given higher priority by the Democratic candidates for president, Brown said.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Jerry Brown Says 'Survival Has to Trump Domestic Issues' in Democratic Primary","datePublished":"2020-01-15T00:07:39.000Z","dateModified":"2020-02-19T20:36:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11795982 https://ww2.kqed.org/news/?p=11795982","disqusUrl":"https://ww2.kqed.org/news/2020/01/14/jerry-brown-says-survival-has-to-trump-domestic-issues-in-democratic-primary/","disqusTitle":"Jerry Brown Says 'Survival Has to Trump Domestic Issues' in Democratic Primary","path":"/news/11795982/jerry-brown-says-survival-has-to-trump-domestic-issues-in-democratic-primary","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A focus on existential issues facing America, namely climate change and the threat of nuclear blunder, should be given higher priority by the Democratic candidates for president, former California Gov. Jerry Brown said.\u003c/p>\n\u003cp>\"I do think survival has to trump domestic issues,\" Brown told a live audience at San Francisco’s Herbst Theater on Monday night.\u003c/p>\n\u003cp>Brown shared thoughts on the 2020 election, and his views on state and national politics at the launch of KQED’s new series about his life and career, \u003ca href=\"https://www.kqed.org/podcasts/jerrybrown\">\"The Political Mind of Jerry Brown.\"\u003c/a>\u003c/p>\n\u003cp>A three-time presidential candidate, Brown lamented the focus on domestic policy divisions between the candidates — both in their stated plans and questions asked during debates.\u003c/p>\n\u003cp>\"I think there is a disconnect between the process of selecting the president, and what the president has to do when he gets there,\" Brown said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'For me, climate change, the threat of nuclear mistake, those are big issues. But it’s hard to bring that up. It’s complicated, it’s not news of the day.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Former California Gov. Jerry Brown on issues he would like Democratic candidates for president to raise","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>While Brown admitted that he hasn't watched most of the Democratic debates, (\"since we don’t have a television at my [Colusa County] ranch,\") he questioned the focus on issues like single-payer health care.\u003c/p>\n\u003cp>\"That’s not the most illuminating way to display the big issues of the country. I don’t think the big issues get the same focus in this kind of process,\" he added. \"For me, climate change, the threat of nuclear mistake, those are big issues. But it’s hard to bring that up. It’s complicated, it’s not news of the day.\"\u003c/p>\n\u003cp>Brown also threw cold water on the emphasis that candidates, most notably Massachusetts Sen. Elizabeth Warren, have put on sharing detailed plans on issues like taxation, student debt and health care.\u003c/p>\n\u003cp>\"I don’t think you have to give all these plans,\" he said. \"You have an idea, a value, a vision. Then you have to have the imagination or skill to get it done.\"\u003c/p>\n\u003cp>Brown declined to endorse a presidential candidate or weigh in on a potential November ballot measure that could raise property taxes on some California businesses.\u003c/p>\n\u003cp>At Monday's event, Brown fielded questions from KQED politics editor Scott Shafer and members of the audience. The conversation also steered into issues at the state Capitol, which Brown left last year after his fourth term as governor.\u003c/p>\n\u003cp>Brown pushed back against possible changes coming to his signature education program: the Local Control Funding Formula.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'He's young and he has a lot of hair.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Former California Gov. Jerry Brown, when asked about similarities between his first year in the governor’s office, in 1975, and Newsom’s first year","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The LCFF, enacted in 2013 during Brown's third term as governor, was an effort to return educational decision-making closer to the classroom. It sent money to school districts with high percentages of low-income students and English-language learners, changing the practice of directing funding through a complicated web of specific programs that came with more strings attached.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.auditor.ca.gov/reports/2019-101/index.html\">state audit\u003c/a> released last year said California was not doing enough to track how districts were spending the money and that \"neither state nor local stakeholders have adequate information to assess the impact of those funds on intended student groups.\"\u003c/p>\n\u003cp>In response to the audit, state lawmakers have \u003ca href=\"https://calmatters.org/education/2020/01/follow-the-money-are-changes-coming-for-california-school-funding-law/\">introduced bills\u003c/a> to increase state oversight over the LCFF funds.\u003c/p>\n\u003cp>During his state budget presentation, Gov. Gavin Newsom said he supports the Local Control Funding Formula, but called for \"more transparency\" and \"more accountability\" around it.\u003c/p>\n\u003cp>On Monday night, Brown acknowledged that change is likely coming to his signature education initiative, but warned of increasing the state's administrative overhead.\u003c/p>\n\u003cp>\"If you put in more programs, you have to have more rules. How do you know when a rule is broken? Well you have to have an audit, you have to send in inspectors and inspectors have to file a report. If you file a report, you have to have a committee hearing. Once you have a committee hearing, then you have to make a new rule,\" Brown said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"The Political Mind of Jerry Brown ","link1":"https://www.kqed.org/podcasts/jerrybrown, Listen to the podcast","hero":"https://ww2.kqed.org/app/uploads/sites/10/2020/01/THE-EYE-1020x765.jpg"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Pretty soon, you’re going to find out a huge percentage of education money is going to the inspectors, going to the data collectors, going to everybody but the teachers,\" he added. \"I would say give the money to the teachers and take your chances.\"\u003c/p>\n\u003cp>Brown also weighed in on the political ambitions of Newsom, his successor in the governor's office.\u003c/p>\n\u003cp>\"All governors of California want to be president,\" quipped Brown, who pursued the nation's highest office during both his first and second terms in office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Asked about similarities between his first year in the governor's office, in 1975, and Newsom's first year, Brown replied, \"He's young and he has a lot of hair.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11795982/jerry-brown-says-survival-has-to-trump-domestic-issues-in-democratic-primary","authors":["227"],"programs":["news_72"],"categories":["news_18540","news_8","news_13"],"tags":["news_20013","news_16","news_683","news_30","news_22597"],"featImg":"news_11796012","label":"news_72"},"news_11671486":{"type":"posts","id":"news_11671486","meta":{"index":"posts_1591205157","site":"news","id":"11671486","score":null,"sort":[1527726895000]},"guestAuthors":[],"slug":"gavin-newsom-walks-fine-line-between-progressive-and-pragmatist-in-governors-race","title":"Gavin Newsom Walks Fine Line Between Progressive and Pragmatist in Governor's Race","publishDate":1527726895,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>As mayor of San Francisco, Lt. Gov. Gavin Newsom was a darling of the city's business community, steered the city through massive deficits to balanced budgets, had good relationships with police and was viewed by the city's progressive faction as a moderate politician -- even conservative, by San Francisco standards.\u003c/p>\n\u003cp>Now, as Newsom runs to succeed Gov. Jerry Brown, he's walking a fine line: Trying to convince more moderate voters that he would continue the fiscal discipline Brown has championed and also be able to enact a litany of ambitious progressive policies, including single-payer health care, universal preschool, truly tackling housing and homelessness, and investing more in higher education.\u003c/p>\n\u003cp>Newsom is the apparent front-runner in a crowded field for governor and appears poised to easily claim the top position in the June 5 primary, guaranteeing him a spot in the November runoff.\u003c/p>\n\u003cp>Republican businessman John Cox and Democratic former Los Angeles Mayor Antonio Villaraigosa are vying for second place. Recent polls show Cox ahead, but Newsom sees Villaraigosa as a bigger threat, given Republicans' dismal registration numbers in California and the fact that Villaraigosa has positioned himself to the right of Newsom in this race.\u003c/p>\n\u003cp>So, as Newsom makes his final case to voters on a 30-city bus tour ahead of Tuesday's primary, he is also laying the groundwork for a general election run, where he'll be looking to appeal to a wider swath of voters than just liberal Democrats.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When asked about the conflict between his policy proposals and the governor's responsibility to balance the state budget, Newsom pointed toward his tenure as San Francisco mayor.\u003c/p>\n\u003cp>\"I said no more than I said yes ... we made investments but I also made a lot of cuts, and those were challenging,\" he said, noting it is likely the next governor will face an economic downturn. \"I have no interest in going back to the old ways. I'm not a profligate Democrat. I have bold ideas. I want to be audacious in terms of the goals but I'm not reckless in that context. ... I really do think Gov. Brown has created a new norm of expectation in terms of fiscal discipline. And it's incumbent upon the next governor, I think, to model that.\"\u003c/p>\n\u003cp>But perhaps nowhere is Newsom's conundrum more evident than around the issue of health care. It's an area that Newsom -- who prides himself on his wonky knowledge of details -- has studied deeply.\u003c/p>\n\u003cp>But it could also pose big political problems: On the one hand, he's promised to support single-payer health care, a key issue for populist Democrats, including the powerful California Nurses Association; on the other hand, estimates of the program's cost run up to $400 billion a year, more than double the state's annual budget.\u003c/p>\n\u003cp>Not to mention the political problem of deconstructing an entrenched health care system, and the reality of needing federal support at a time when California is locked in all-out legal warfare with the Trump administration.\u003c/p>\n\u003cp>\"I will be very thoughtful about how we deal with the issue. But I would argue what is reckless is doing nothing. Health care is devouring the state budget. Health care is in crisis in this country,\" he said, citing estimates that Republican tweaks to Obamacare could result in 30 percent premium increases next year alone. \u003c/p>\n\u003cp>Newsom noted that he won't have the power to overhaul California's health care system alone -- it would require the buy-in of the federal government, as well as a host of changes to state and federal law.\u003c/p>\n\u003cp>\"My emphasis here is trying to bring everybody to the table and address this issue head-on -- and try to address this cost curve which is devouring the budget,\" he said. \"This issue requires the executive branch ... to shape that conversation anew and phrase the conversation differently.\"\u003c/p>\n\u003cp>Newsom made the comments over the course of a 90-minute bus ride Tuesday with a handful of reporters. During that wide-ranging conversation, the lieutenant governor vacillated between praising Jerry Brown (he called it a \"gift\" to work in the Capitol and learn from Brown over the past seven years) but also seeking to put some daylight between himself and the man he hopes to succeed.\u003c/p>\n\u003cp>\"He's been very stubborn in two areas where I'm going to be a little more indulgent: Higher education and workforce development, and early childhood education -- I just think those two areas we must do more and do better,\" he said.\u003c/p>\n\u003cp>Newsom also pledged to \"be a lot more intentional on the housing and homeless issue, which is not just about more resources but resourcefulness. There's a lot of money being spent in those areas ... (that's) not always been best spent.\"\u003c/p>\n\u003cp>Newsom fell back on an old political trope, promising to help pay for many of these new or expanded programs by growing the economy and by using existing resources more creatively and efficiently. But when pressed, he acknowledged that none of his big goals could be accomplished quickly. He said some of them, like health care, would be part of the annual budget conversation.\u003c/p>\n\u003cp>And Newsom said that when it comes to approach, he will govern differently than Brown.\u003c/p>\n\u003cp>\"I'm going to pull a lot more things into the governor's office and not just see them fester in the Legislature,\" Newsom said, alluding to the governor's practice of refraining from weighing in on most legislation until it reaches his desk.\u003c/p>\n\u003cp>\"I get the wisdom of why the governor does that -- I mean politically, it's very shrewd -- it allows you to pivot, it allows you more room. But there are certain issues that I think require the governor's office to be more and more proactive on the front end, as opposed to engaged on the back end.\"\u003c/p>\n\u003cp>In that way, Newsom said he would model himself more on another California politician named Brown, who preceded Newsom as San Francisco mayor and is famous for his ability to make seemingly impossible deals happen.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Perhaps that's a contour of stylistic difference, and maybe it's more in line with where Willie Brown would find himself, rather than Jerry,\" Newsom said.\u003c/p>\n\n","blocks":[],"excerpt":"Lieutenant governor is trying to convince more moderate voters that he would continue fiscal discipline Jerry Brown has championed and also be able to enact a litany of ambitious progressive policies.","status":"publish","parent":0,"modified":1527729226,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1053},"headData":{"title":"Gavin Newsom Walks Fine Line Between Progressive and Pragmatist in Governor's Race | KQED","description":"Lieutenant governor is trying to convince more moderate voters that he would continue fiscal discipline Jerry Brown has championed and also be able to enact a litany of ambitious progressive policies.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Gavin Newsom Walks Fine Line Between Progressive and Pragmatist in Governor's Race","datePublished":"2018-05-31T00:34:55.000Z","dateModified":"2018-05-31T01:13:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11671486 https://ww2.kqed.org/news/?p=11671486","disqusUrl":"https://ww2.kqed.org/news/2018/05/30/gavin-newsom-walks-fine-line-between-progressive-and-pragmatist-in-governors-race/","disqusTitle":"Gavin Newsom Walks Fine Line Between Progressive and Pragmatist in Governor's Race","path":"/news/11671486/gavin-newsom-walks-fine-line-between-progressive-and-pragmatist-in-governors-race","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As mayor of San Francisco, Lt. Gov. Gavin Newsom was a darling of the city's business community, steered the city through massive deficits to balanced budgets, had good relationships with police and was viewed by the city's progressive faction as a moderate politician -- even conservative, by San Francisco standards.\u003c/p>\n\u003cp>Now, as Newsom runs to succeed Gov. Jerry Brown, he's walking a fine line: Trying to convince more moderate voters that he would continue the fiscal discipline Brown has championed and also be able to enact a litany of ambitious progressive policies, including single-payer health care, universal preschool, truly tackling housing and homelessness, and investing more in higher education.\u003c/p>\n\u003cp>Newsom is the apparent front-runner in a crowded field for governor and appears poised to easily claim the top position in the June 5 primary, guaranteeing him a spot in the November runoff.\u003c/p>\n\u003cp>Republican businessman John Cox and Democratic former Los Angeles Mayor Antonio Villaraigosa are vying for second place. Recent polls show Cox ahead, but Newsom sees Villaraigosa as a bigger threat, given Republicans' dismal registration numbers in California and the fact that Villaraigosa has positioned himself to the right of Newsom in this race.\u003c/p>\n\u003cp>So, as Newsom makes his final case to voters on a 30-city bus tour ahead of Tuesday's primary, he is also laying the groundwork for a general election run, where he'll be looking to appeal to a wider swath of voters than just liberal Democrats.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When asked about the conflict between his policy proposals and the governor's responsibility to balance the state budget, Newsom pointed toward his tenure as San Francisco mayor.\u003c/p>\n\u003cp>\"I said no more than I said yes ... we made investments but I also made a lot of cuts, and those were challenging,\" he said, noting it is likely the next governor will face an economic downturn. \"I have no interest in going back to the old ways. I'm not a profligate Democrat. I have bold ideas. I want to be audacious in terms of the goals but I'm not reckless in that context. ... I really do think Gov. Brown has created a new norm of expectation in terms of fiscal discipline. And it's incumbent upon the next governor, I think, to model that.\"\u003c/p>\n\u003cp>But perhaps nowhere is Newsom's conundrum more evident than around the issue of health care. It's an area that Newsom -- who prides himself on his wonky knowledge of details -- has studied deeply.\u003c/p>\n\u003cp>But it could also pose big political problems: On the one hand, he's promised to support single-payer health care, a key issue for populist Democrats, including the powerful California Nurses Association; on the other hand, estimates of the program's cost run up to $400 billion a year, more than double the state's annual budget.\u003c/p>\n\u003cp>Not to mention the political problem of deconstructing an entrenched health care system, and the reality of needing federal support at a time when California is locked in all-out legal warfare with the Trump administration.\u003c/p>\n\u003cp>\"I will be very thoughtful about how we deal with the issue. But I would argue what is reckless is doing nothing. Health care is devouring the state budget. Health care is in crisis in this country,\" he said, citing estimates that Republican tweaks to Obamacare could result in 30 percent premium increases next year alone. \u003c/p>\n\u003cp>Newsom noted that he won't have the power to overhaul California's health care system alone -- it would require the buy-in of the federal government, as well as a host of changes to state and federal law.\u003c/p>\n\u003cp>\"My emphasis here is trying to bring everybody to the table and address this issue head-on -- and try to address this cost curve which is devouring the budget,\" he said. \"This issue requires the executive branch ... to shape that conversation anew and phrase the conversation differently.\"\u003c/p>\n\u003cp>Newsom made the comments over the course of a 90-minute bus ride Tuesday with a handful of reporters. During that wide-ranging conversation, the lieutenant governor vacillated between praising Jerry Brown (he called it a \"gift\" to work in the Capitol and learn from Brown over the past seven years) but also seeking to put some daylight between himself and the man he hopes to succeed.\u003c/p>\n\u003cp>\"He's been very stubborn in two areas where I'm going to be a little more indulgent: Higher education and workforce development, and early childhood education -- I just think those two areas we must do more and do better,\" he said.\u003c/p>\n\u003cp>Newsom also pledged to \"be a lot more intentional on the housing and homeless issue, which is not just about more resources but resourcefulness. There's a lot of money being spent in those areas ... (that's) not always been best spent.\"\u003c/p>\n\u003cp>Newsom fell back on an old political trope, promising to help pay for many of these new or expanded programs by growing the economy and by using existing resources more creatively and efficiently. But when pressed, he acknowledged that none of his big goals could be accomplished quickly. He said some of them, like health care, would be part of the annual budget conversation.\u003c/p>\n\u003cp>And Newsom said that when it comes to approach, he will govern differently than Brown.\u003c/p>\n\u003cp>\"I'm going to pull a lot more things into the governor's office and not just see them fester in the Legislature,\" Newsom said, alluding to the governor's practice of refraining from weighing in on most legislation until it reaches his desk.\u003c/p>\n\u003cp>\"I get the wisdom of why the governor does that -- I mean politically, it's very shrewd -- it allows you to pivot, it allows you more room. But there are certain issues that I think require the governor's office to be more and more proactive on the front end, as opposed to engaged on the back end.\"\u003c/p>\n\u003cp>In that way, Newsom said he would model himself more on another California politician named Brown, who preceded Newsom as San Francisco mayor and is famous for his ability to make seemingly impossible deals happen.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Perhaps that's a contour of stylistic difference, and maybe it's more in line with where Willie Brown would find himself, rather than Jerry,\" Newsom said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11671486/gavin-newsom-walks-fine-line-between-progressive-and-pragmatist-in-governors-race","authors":["3239"],"programs":["news_72"],"categories":["news_8","news_13"],"tags":["news_20191","news_16","news_23202","news_22597","news_17041"],"featImg":"news_11671496","label":"news_72"},"news_11655673":{"type":"posts","id":"news_11655673","meta":{"index":"posts_1591205157","site":"news","id":"11655673","score":null,"sort":[1521056058000]},"guestAuthors":[],"slug":"lawmakers-recommend-small-steps-on-health-care-no-single-payer-yet","title":"Lawmakers Recommend Small Steps on Health Care, No Single-Payer Yet","publishDate":1521056058,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Key California lawmakers working on health care reform on Tuesday embraced an incremental approach to broadening access and lowering costs as they released a report that says it would take years to pull off a more radical move to government-backed universal health coverage.\u003c/p>\n\u003cp>The \u003ca href=\"http://healthcare.assembly.ca.gov/sites/healthcare.assembly.ca.gov/files/Report%20Final%203_13_18.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> by three independent consultants built on 30 hours of testimony to the Assembly Select Committee on Health Care Delivery Systems and Universal Coverage between October and February.\u003c/p>\n\u003cp>\"It's about \"a short-term approach and a long-term vision,\" said committee co-chair Assemblyman Joaquin Arambula (D-Delano).\u003c/p>\n\u003cp>\"We put our heart and soul into this,\" said Assemblyman Jim Wood (D- Healdsburg), the other panel co-chair.\u003c/p>\n\u003cp>While acknowledging their strategy is more \"methodical\" than many activists want, Wood was not apologetic about backing a step-by-step approach.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Even one small tweak to the system could have huge ramifications to another part of the system,\" he said.\u003c/p>\n\u003ch2>Short-Term Ideas\u003c/h2>\n\u003cp>Arguing that it would take several years and a lot of heavy political lifting at the state and federal levels to move to a so-called single-payer health care system, the report recommends taking a series of short-term steps to improve coverage, affordability and access while simultaneously studying how to get to universal coverage.\u003c/p>\n\u003cp>Some of the key proposals:\u003c/p>\n\u003cul>\n\u003cli>Expand Medi-Cal to all eligible adults who are in the U.S. illegally. The program is currently available to unauthorized immigrants under the age of 19.\u003c/li>\n\u003cli>Permit unauthorized immigrants to buy subsidized insurance through Covered California.\u003c/li>\n\u003cli>Use state money to expand Covered California subsidies for consumers who make too much to qualify for federal subsidies.\u003c/li>\n\u003cli>Increase payments to providers who treat Medi-Cal patients.\u003c/li>\n\u003cli>Explore setting up a \"public option,\" a state-backed insurance plan that would compete against private plans.\u003c/li>\n\u003cli>Create a state tax penalty for failing to buy health insurance, replacing the Affordable Care Act mandate that the federal government eliminated in the recently passed tax bill.\u003c/li>\n\u003c/ul>\n\u003cp>While generally endorsing the report's recommendations, Wood and Arambula were not ready to back the call for a state mandate, which also has the support of Covered California and the California Association of Health Plans.\u003c/p>\n\u003cp>\"Subsidies are more of an incentive than mandates are,\" said Arambula.\u003c/p>\n\u003cp>He said \"multiple proposals\" will end up in legislation this year. Under legislative rules, any new bills must be introduced by the end of March.\u003c/p>\n\u003ch2>The Long-Term Vision\u003c/h2>\n\u003cp>The report points to a number of \u003ca href=\"https://www.scpr.org/news/2018/02/07/80550/these-legal-hurdles-could-trip-up-universal-health/\" target=\"_blank\" rel=\"noopener\">state and federal legal hurdles\u003c/a> to single payer in the short term. Both Arambula and Wood expressed doubt that the Trump administration would support changing federal rules and laws to allow California to use Medicaid and Medicare dollars to pay for a state-run health care system.\u003c/p>\n\u003cp>\"We can’t do it without the federal resources,\" said Wood.\u003c/p>\n\u003cp>The experts said the Legislature could create a \"planning commission\" that could start the hard work of laying the political, legal and financial groundwork for a single-payer system.\u003c/p>\n\u003cp>The commission would work on designing the system and figuring out how to pay for it, which would include helping the state seek legislative and statutory changes at the federal level, the report said.\u003c/p>\n\u003cp>The select committee was created to look at the issues raised by SB 562, which proposed a Canadian-style single-payer health system for California. It passed the state Senate last spring but never reached the Assembly. Speaker Anthony Rendon shelved it, calling the measure \"woefully incomplete\" because it lacked details on how to implement or pay for single payer.\u003c/p>\n\u003cp>SB 562's main backer, the California Nurses Association, slammed the report's call for an incremental strategy.\u003c/p>\n\u003cp>\"The report inflates the obstacles to single payer, all of which are a reflection of lack of political will,\" said Bonnie Castillo, the association's executive director.\u003c/p>\n\u003cp>Many of the short-term proposals are \"a deceptive facade,\" she said, \"pretending to address the problem.\"\u003c/p>\n\u003cp>They will \"do little to address the biggest hole in our health care system, the failure to guarantee actual health care, not 'insurance' for all Californians,\" said Castillo.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The association said it will continue to press the Legislature to consider SB 562.\u003c/p>\n\n","blocks":[],"excerpt":"Key state lawmakers on Tuesday released a report saying it would take years to pull off a move to government-backed universal health coverage.","status":"publish","parent":0,"modified":1521062729,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":703},"headData":{"title":"Lawmakers Recommend Small Steps on Health Care, No Single-Payer Yet | KQED","description":"Key state lawmakers on Tuesday released a report saying it would take years to pull off a move to government-backed universal health coverage.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Lawmakers Recommend Small Steps on Health Care, No Single-Payer Yet","datePublished":"2018-03-14T19:34:18.000Z","dateModified":"2018-03-14T21:25:29.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11655673 https://ww2.kqed.org/news/?p=11655673","disqusUrl":"https://ww2.kqed.org/news/2018/03/14/lawmakers-recommend-small-steps-on-health-care-no-single-payer-yet/","disqusTitle":"Lawmakers Recommend Small Steps on Health Care, No Single-Payer Yet","source":"KPCC","sourceUrl":"http://www.scpr.org/","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/UniversalHealthcareKlivans180314.mp3","nprByline":"\u003cstrong>\u003ca href=\"http://www.scpr.org/about/people/staff/michelle-faust\">Michelle Faust\u003c/a>\u003c/strong>","path":"/news/11655673/lawmakers-recommend-small-steps-on-health-care-no-single-payer-yet","audioDuration":100000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Key California lawmakers working on health care reform on Tuesday embraced an incremental approach to broadening access and lowering costs as they released a report that says it would take years to pull off a more radical move to government-backed universal health coverage.\u003c/p>\n\u003cp>The \u003ca href=\"http://healthcare.assembly.ca.gov/sites/healthcare.assembly.ca.gov/files/Report%20Final%203_13_18.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> by three independent consultants built on 30 hours of testimony to the Assembly Select Committee on Health Care Delivery Systems and Universal Coverage between October and February.\u003c/p>\n\u003cp>\"It's about \"a short-term approach and a long-term vision,\" said committee co-chair Assemblyman Joaquin Arambula (D-Delano).\u003c/p>\n\u003cp>\"We put our heart and soul into this,\" said Assemblyman Jim Wood (D- Healdsburg), the other panel co-chair.\u003c/p>\n\u003cp>While acknowledging their strategy is more \"methodical\" than many activists want, Wood was not apologetic about backing a step-by-step approach.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Even one small tweak to the system could have huge ramifications to another part of the system,\" he said.\u003c/p>\n\u003ch2>Short-Term Ideas\u003c/h2>\n\u003cp>Arguing that it would take several years and a lot of heavy political lifting at the state and federal levels to move to a so-called single-payer health care system, the report recommends taking a series of short-term steps to improve coverage, affordability and access while simultaneously studying how to get to universal coverage.\u003c/p>\n\u003cp>Some of the key proposals:\u003c/p>\n\u003cul>\n\u003cli>Expand Medi-Cal to all eligible adults who are in the U.S. illegally. The program is currently available to unauthorized immigrants under the age of 19.\u003c/li>\n\u003cli>Permit unauthorized immigrants to buy subsidized insurance through Covered California.\u003c/li>\n\u003cli>Use state money to expand Covered California subsidies for consumers who make too much to qualify for federal subsidies.\u003c/li>\n\u003cli>Increase payments to providers who treat Medi-Cal patients.\u003c/li>\n\u003cli>Explore setting up a \"public option,\" a state-backed insurance plan that would compete against private plans.\u003c/li>\n\u003cli>Create a state tax penalty for failing to buy health insurance, replacing the Affordable Care Act mandate that the federal government eliminated in the recently passed tax bill.\u003c/li>\n\u003c/ul>\n\u003cp>While generally endorsing the report's recommendations, Wood and Arambula were not ready to back the call for a state mandate, which also has the support of Covered California and the California Association of Health Plans.\u003c/p>\n\u003cp>\"Subsidies are more of an incentive than mandates are,\" said Arambula.\u003c/p>\n\u003cp>He said \"multiple proposals\" will end up in legislation this year. Under legislative rules, any new bills must be introduced by the end of March.\u003c/p>\n\u003ch2>The Long-Term Vision\u003c/h2>\n\u003cp>The report points to a number of \u003ca href=\"https://www.scpr.org/news/2018/02/07/80550/these-legal-hurdles-could-trip-up-universal-health/\" target=\"_blank\" rel=\"noopener\">state and federal legal hurdles\u003c/a> to single payer in the short term. Both Arambula and Wood expressed doubt that the Trump administration would support changing federal rules and laws to allow California to use Medicaid and Medicare dollars to pay for a state-run health care system.\u003c/p>\n\u003cp>\"We can’t do it without the federal resources,\" said Wood.\u003c/p>\n\u003cp>The experts said the Legislature could create a \"planning commission\" that could start the hard work of laying the political, legal and financial groundwork for a single-payer system.\u003c/p>\n\u003cp>The commission would work on designing the system and figuring out how to pay for it, which would include helping the state seek legislative and statutory changes at the federal level, the report said.\u003c/p>\n\u003cp>The select committee was created to look at the issues raised by SB 562, which proposed a Canadian-style single-payer health system for California. It passed the state Senate last spring but never reached the Assembly. Speaker Anthony Rendon shelved it, calling the measure \"woefully incomplete\" because it lacked details on how to implement or pay for single payer.\u003c/p>\n\u003cp>SB 562's main backer, the California Nurses Association, slammed the report's call for an incremental strategy.\u003c/p>\n\u003cp>\"The report inflates the obstacles to single payer, all of which are a reflection of lack of political will,\" said Bonnie Castillo, the association's executive director.\u003c/p>\n\u003cp>Many of the short-term proposals are \"a deceptive facade,\" she said, \"pretending to address the problem.\"\u003c/p>\n\u003cp>They will \"do little to address the biggest hole in our health care system, the failure to guarantee actual health care, not 'insurance' for all Californians,\" said Castillo.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The association said it will continue to press the Legislature to consider SB 562.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11655673/lawmakers-recommend-small-steps-on-health-care-no-single-payer-yet","authors":["byline_news_11655673"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_22597","news_17286"],"affiliates":["news_7055"],"featImg":"news_11655676","label":"source_news_11655673"},"news_11653117":{"type":"posts","id":"news_11653117","meta":{"index":"posts_1591205157","site":"news","id":"11653117","score":null,"sort":[1519957707000]},"guestAuthors":[],"slug":"newsom-claims-s-f-street-cred-on-single-payer-issue","title":"Newsom Claims S.F. Street Cred on Single-Payer Issue","publishDate":1519957707,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>As the race for governor heats up, support for a government-run single-payer health care system is becoming a kind of \u003ca href=\"https://ww2.kqed.org/news/2017/09/22/is-single-payer-becoming-a-litmus-test-for-democrats/\" target=\"_blank\" rel=\"noopener\">litmus test for Democrats\u003c/a> -- and no candidate has embraced the idea more closely than Lt. Gov. Gavin Newsom.\u003c/p>\n\u003cp>But pressure to support single payer, including \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener\">SB 562\u003c/a> which passed the state Senate before stalling in the Assembly, has gotten the attention of candidates up and down the ballot, some of whom fear alienating the powerful \"take no prisoners\" \u003ca href=\"https://www.nationalnursesunited.org/california-nurses-association\" target=\"_blank\" rel=\"noopener\">California Nurses Association,\u003c/a> single payer's most ardent supporter.\u003c/p>\n\u003cp>Newsom has long been a favorite of the nurses union. In fact, they \u003ca href=\"http://www.latimes.com/politics/la-pol-ca-gavin-newsom-california-nurses-association-20151202-story.html\" target=\"_blank\" rel=\"noopener\">endorsed him\u003c/a> for governor more than two years ago, in large measure based on his support for \u003ca href=\"http://healthysanfrancisco.org\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco (HSF)\u003c/a>, a program enacted in 2006 when he was mayor.\u003c/p>\n\u003cp>The idea was first proposed by then-Supervisor Tom Ammiano, a frequent critic of Newsom's. The former mayor acknowledges that he had serious questions and doubts about the idea when it first surfaced, partly because small businesses were required to help pay for it. Among its biggest critics was the Golden Gate Restaurant Association, which sued in federal court to stop it.\u003c/p>\n\u003cp>Newsom, himself a restaurant owner, eventually came around, and now he uses HSF to tout his credibility on single payer. Enacted before the Affordable Care Act (ACA), or Obamacare, Healthy San Francisco was intended to provide \"universal access\" to health care for low-income folks who did not otherwise qualify for Medi-Cal.\u003c/p>\n\u003cfigure id=\"attachment_11653162\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11653162\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/IMG_5130-e1519947739518-800x600.jpg\" alt=\"Jennifer Siebel Newsom, wife of Lt. Gov. Gavin Newsom, stands beside a bus from the nurses' union supporting him for governor.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jennifer Siebel Newsom, wife of Lt. Gov. Gavin Newsom, stands beside a bus from the nurses union supporting him for governor. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At a convention of nurses in September, Newsom bragged that the program greatly expanded the city's health care safety net, \"regardless of pre-existing conditions, regardless of your ability to pay and regardless of your immigration status -- the only city with universal health care.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to the San Francisco Public Health Department, at its peak in 2010, HSF had just under 57,000 members at a cost of about $100 million. It wasn't insurance, but rather a connection for members to a primary care physician and a \"medical home\" where they could get treatment, so they didn't have to rely on costly hospital emergency rooms.\u003c/p>\n\u003cp>Since the \u003ca href=\"https://www.healthcare.gov\" target=\"_blank\" rel=\"noopener\">ACA\u003c/a> took effect in 2011, most enrollees of Healthy S.F. have transitioned into Covered California, the state's version of Obamacare with expanded eligibility for Medi-Cal. Today, Healthy San Francisco has just over 10,000 members.\u003c/p>\n\u003cp>[contextly_sidebar id=\"xCxPK3C6iaTVQfgJz7p4iQbVyYkgqKRu\"]\u003c/p>\n\u003cp>Newsom insists his support of that program shows he can deliver single-payer health care to California if he is elected governor.\u003c/p>\n\u003cp>But his closest rival in the race, former Los Angeles Mayor Antonio Villaraigosa, says Newsom is promising something he can't deliver.\u003c/p>\n\u003cp>\"Am I for single payer?\" Villaraigosa asked rhetorically at a recent debate in Los Angeles. \"I'm philosophically for it. But we gotta address the fact that it costs $400 billion. And anybody who's telling you we should do it without a plan is selling you snake oil.\"\u003c/p>\n\u003cp>Newsom had a tart reply to Villaraigosa at the Democratic Party Convention last weekend.\u003c/p>\n\u003cp>\"My opponents, they call it snake oil,\" Newsom said. \"I call it single payer. It's about access. It's about affordability. It's about time, Democrats.\"\u003c/p>\n\u003cp>Newsom finished first in the party endorsement vote with support from 39 percent of delegates. Villaraigosa finished last with 9 percent.\u003c/p>\n\u003cp>But Villaraigosa is not alone in his criticism of single payer as currently envisioned. After SB 562 passed the state Senate last year, Assembly Speaker Anthony Rendon said he would not let it reach the floor of his house without more meat on the bones.\u003c/p>\n\u003cp>[contextly_sidebar id=\"JtejKkN5MXq6bZm5glTE8w4yWnxDtYZD\"]\u003c/p>\n\u003cp>That announcement put the nurses union on the warpath, even threatening to launch a recall campaign against Rendon. Since then, the Assembly has held informational hearings on SB 562, but there's been little progress toward moving it forward.\u003c/p>\n\u003cp>\"It was a bill that was woefully incomplete,\" Rendon said on KQED Forum in December. \"Imagine a bill that comes at a price tag of $400 billion but doesn't identify a funding source.\"\u003c/p>\n\u003cp>Gov. Jerry Brown has also expressed skepticism about single-payer health care. Referring to the estimated $350 billion to $400 billion price tag, Brown asked \"Where do you get the extra money?\u003cbr>\nThis is the whole question.\"\u003c/p>\n\u003cp>In response, the nurses union points to a \u003ca href=\"https://www.peri.umass.edu/publication/item/996-economic-analysis-of-the-healthy-california-single-payer-health-care-proposal-sb-562\" target=\"_blank\" rel=\"noopener\">2017 study\u003c/a> by the University of Massachusetts Amherst. It found that a single-payer system would increase costs to California (government, employer and individuals) by just under 10 percent. But it also found a significant potential for cost savings from administration and prescription drugs and reduced inefficiency, with the net effect being an overall savings under single payer.\u003c/p>\n\u003cp>Still, implementing single-payer health care in California would require buy-in from the federal government, employers and the insurance industry, says health policy analyst Marian Mulkey.\u003c/p>\n\u003cp>\"[Single payer] is a complete upending of the way that health care is paid for, and financing is a very far cry in terms of conception from Healthy San Francisco,\" she said. \"And that would be a huge transition to negotiate and to manage.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And so, while single-payer health care might be politically popular right now, huge hurdles remain. And whether Gavin Newsom could do anything to overcome that as governor is very much open to question.\u003c/p>\n\n","blocks":[],"excerpt":"What does Healthy San Francisco say, if anything, about Gavin Newsom's ability to enact single-payer health care in California?","status":"publish","parent":0,"modified":1526160023,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":913},"headData":{"title":"Newsom Claims S.F. Street Cred on Single-Payer Issue | KQED","description":"What does Healthy San Francisco say, if anything, about Gavin Newsom's ability to enact single-payer health care in California?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Newsom Claims S.F. Street Cred on Single-Payer Issue","datePublished":"2018-03-02T02:28:27.000Z","dateModified":"2018-05-12T21:20:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11653117 https://ww2.kqed.org/news/?p=11653117","disqusUrl":"https://ww2.kqed.org/news/2018/03/01/newsom-claims-s-f-street-cred-on-single-payer-issue/","disqusTitle":"Newsom Claims S.F. Street Cred on Single-Payer Issue","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/03/ShaferNewsomHealthySF.mp3","path":"/news/11653117/newsom-claims-s-f-street-cred-on-single-payer-issue","audioDuration":211000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the race for governor heats up, support for a government-run single-payer health care system is becoming a kind of \u003ca href=\"https://ww2.kqed.org/news/2017/09/22/is-single-payer-becoming-a-litmus-test-for-democrats/\" target=\"_blank\" rel=\"noopener\">litmus test for Democrats\u003c/a> -- and no candidate has embraced the idea more closely than Lt. Gov. Gavin Newsom.\u003c/p>\n\u003cp>But pressure to support single payer, including \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener\">SB 562\u003c/a> which passed the state Senate before stalling in the Assembly, has gotten the attention of candidates up and down the ballot, some of whom fear alienating the powerful \"take no prisoners\" \u003ca href=\"https://www.nationalnursesunited.org/california-nurses-association\" target=\"_blank\" rel=\"noopener\">California Nurses Association,\u003c/a> single payer's most ardent supporter.\u003c/p>\n\u003cp>Newsom has long been a favorite of the nurses union. In fact, they \u003ca href=\"http://www.latimes.com/politics/la-pol-ca-gavin-newsom-california-nurses-association-20151202-story.html\" target=\"_blank\" rel=\"noopener\">endorsed him\u003c/a> for governor more than two years ago, in large measure based on his support for \u003ca href=\"http://healthysanfrancisco.org\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco (HSF)\u003c/a>, a program enacted in 2006 when he was mayor.\u003c/p>\n\u003cp>The idea was first proposed by then-Supervisor Tom Ammiano, a frequent critic of Newsom's. The former mayor acknowledges that he had serious questions and doubts about the idea when it first surfaced, partly because small businesses were required to help pay for it. Among its biggest critics was the Golden Gate Restaurant Association, which sued in federal court to stop it.\u003c/p>\n\u003cp>Newsom, himself a restaurant owner, eventually came around, and now he uses HSF to tout his credibility on single payer. Enacted before the Affordable Care Act (ACA), or Obamacare, Healthy San Francisco was intended to provide \"universal access\" to health care for low-income folks who did not otherwise qualify for Medi-Cal.\u003c/p>\n\u003cfigure id=\"attachment_11653162\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11653162\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/IMG_5130-e1519947739518-800x600.jpg\" alt=\"Jennifer Siebel Newsom, wife of Lt. Gov. Gavin Newsom, stands beside a bus from the nurses' union supporting him for governor.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/IMG_5130-e1519947739518-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jennifer Siebel Newsom, wife of Lt. Gov. Gavin Newsom, stands beside a bus from the nurses union supporting him for governor. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At a convention of nurses in September, Newsom bragged that the program greatly expanded the city's health care safety net, \"regardless of pre-existing conditions, regardless of your ability to pay and regardless of your immigration status -- the only city with universal health care.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to the San Francisco Public Health Department, at its peak in 2010, HSF had just under 57,000 members at a cost of about $100 million. It wasn't insurance, but rather a connection for members to a primary care physician and a \"medical home\" where they could get treatment, so they didn't have to rely on costly hospital emergency rooms.\u003c/p>\n\u003cp>Since the \u003ca href=\"https://www.healthcare.gov\" target=\"_blank\" rel=\"noopener\">ACA\u003c/a> took effect in 2011, most enrollees of Healthy S.F. have transitioned into Covered California, the state's version of Obamacare with expanded eligibility for Medi-Cal. Today, Healthy San Francisco has just over 10,000 members.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Newsom insists his support of that program shows he can deliver single-payer health care to California if he is elected governor.\u003c/p>\n\u003cp>But his closest rival in the race, former Los Angeles Mayor Antonio Villaraigosa, says Newsom is promising something he can't deliver.\u003c/p>\n\u003cp>\"Am I for single payer?\" Villaraigosa asked rhetorically at a recent debate in Los Angeles. \"I'm philosophically for it. But we gotta address the fact that it costs $400 billion. And anybody who's telling you we should do it without a plan is selling you snake oil.\"\u003c/p>\n\u003cp>Newsom had a tart reply to Villaraigosa at the Democratic Party Convention last weekend.\u003c/p>\n\u003cp>\"My opponents, they call it snake oil,\" Newsom said. \"I call it single payer. It's about access. It's about affordability. It's about time, Democrats.\"\u003c/p>\n\u003cp>Newsom finished first in the party endorsement vote with support from 39 percent of delegates. Villaraigosa finished last with 9 percent.\u003c/p>\n\u003cp>But Villaraigosa is not alone in his criticism of single payer as currently envisioned. After SB 562 passed the state Senate last year, Assembly Speaker Anthony Rendon said he would not let it reach the floor of his house without more meat on the bones.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>That announcement put the nurses union on the warpath, even threatening to launch a recall campaign against Rendon. Since then, the Assembly has held informational hearings on SB 562, but there's been little progress toward moving it forward.\u003c/p>\n\u003cp>\"It was a bill that was woefully incomplete,\" Rendon said on KQED Forum in December. \"Imagine a bill that comes at a price tag of $400 billion but doesn't identify a funding source.\"\u003c/p>\n\u003cp>Gov. Jerry Brown has also expressed skepticism about single-payer health care. Referring to the estimated $350 billion to $400 billion price tag, Brown asked \"Where do you get the extra money?\u003cbr>\nThis is the whole question.\"\u003c/p>\n\u003cp>In response, the nurses union points to a \u003ca href=\"https://www.peri.umass.edu/publication/item/996-economic-analysis-of-the-healthy-california-single-payer-health-care-proposal-sb-562\" target=\"_blank\" rel=\"noopener\">2017 study\u003c/a> by the University of Massachusetts Amherst. It found that a single-payer system would increase costs to California (government, employer and individuals) by just under 10 percent. But it also found a significant potential for cost savings from administration and prescription drugs and reduced inefficiency, with the net effect being an overall savings under single payer.\u003c/p>\n\u003cp>Still, implementing single-payer health care in California would require buy-in from the federal government, employers and the insurance industry, says health policy analyst Marian Mulkey.\u003c/p>\n\u003cp>\"[Single payer] is a complete upending of the way that health care is paid for, and financing is a very far cry in terms of conception from Healthy San Francisco,\" she said. \"And that would be a huge transition to negotiate and to manage.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And so, while single-payer health care might be politically popular right now, huge hurdles remain. And whether Gavin Newsom could do anything to overcome that as governor is very much open to question.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11653117/newsom-claims-s-f-street-cred-on-single-payer-issue","authors":["255"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_20191","news_16","news_23202","news_21789","news_22597","news_17286"],"featImg":"news_11653306","label":"news_72"},"news_11650534":{"type":"posts","id":"news_11650534","meta":{"index":"posts_1591205157","site":"news","id":"11650534","score":null,"sort":[1518817561000]},"guestAuthors":[],"slug":"single-payer-health-care-in-california-why-advocates-are-playing-the-long-game","title":"Single-Payer Health Care in California? Why Advocates Are Playing the Long Game","publishDate":1518817561,"format":"image","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>By many measures the rambunctious campaign for a single-payer health care system in California appears to be floundering.\u003c/p>\n\u003cp>A bill that would replace the existing health care system with a new one run by a single payer -- specifically, the state government -- and paid for with taxpayer money remains parked in the Assembly, with no sign of moving ahead. An effort by activists to recall Assembly Speaker Anthony Rendon for shelving the bill has gone dormant. And an initiative that would lay the financial groundwork for a future single-payer system has little funding, undercutting its chances to qualify for the ballot.\u003c/p>\n\u003cp>But even if single payer is a lost cause in the short term, advocates are playing a long game. For now, it may well be less a realistic policy blueprint than an organizing tool.\u003c/p>\n\u003cp>And by that metric, advocates are making gains.\u003c/p>\n\u003cp>Riding a wave of enthusiasm from progressive Democrats, supporters of single payer have effectively made it a front-and-center issue in California’s 2018 elections. It’s been discussed in virtually every forum with the candidates running for governor, emerged as a point of contention in some legislative races, and will likely be a rallying cry at the upcoming California Democratic Party convention.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"sS3Whaix6T8nqcVe0YQAXX8vPyoTkq8S\"]\u003c/p>\n\u003cp>“This issue is not going away,” said Garry South, a Democratic political consultant who has worked with the California Nurses Association, which sponsored the stalled \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201720180SB562\">single-payer bill\u003c/a>.\u003c/p>\n\u003cp>“The progressive elements who are supportive of the single-payer concept know that it’s not going to happen now, it’s not going to happen tomorrow. It’s a long-term process and Jerry Brown is gone as of January 2019.”\u003c/p>\n\u003cp>The governor has not had to stake a position on the bill because it skidded to a stop in the Assembly last summer without reaching his desk.\u003c/p>\n\u003cp>But state Sen. Toni Atkins, a San Diego Democrat who co-authored Senate Bill 562, said Brown was not receptive. Analyses peg the cost of a statewide single-payer system at between $330 billion and $400 billion -- far exceeding the state’s entire budget. That made it an anathema to Brown’s record of prioritizing fiscal stability for state government.\u003c/p>\n\u003cp>“When the governor saw that we introduced that bill... all he could look at me and do is shake his head and say, ‘$400 billion dollars.’ And I kept trying to say, ‘Can we back up and talk about what you've got to do to get (there)?’\" Atkins said in an interview.\u003c/p>\n\u003cp>“He wasn’t letting it go.”\u003c/p>\n\u003cp>Atkins, who will take over as Senate leader next month, said she’s not giving up on the goal of single-payer but does not expect it to happen this year. “People are polarized on this issue in a way that’s not good for coming together to get it done,” she said.\u003c/p>\n\u003cp>Led by the nurses association -- a labor union that \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">embraces firebrand activism\u003c/a> -- supporters of single-payer have targeted Rendon after he shelved the bill last summer, saying it lacked critical information on how to pay for a massive overhaul of the healthcare system. They peppered social media with images that not only portrayed the bill fight as a boxing match between Rendon and the nurses, but also depicted a knife labeled “Rendon” back-stabbing the bear symbol of California.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-medium wp-image-11650545\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/SinglePayerInfograph-800x1875.jpg\" alt=\"\" width=\"800\" height=\"1875\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-160x375.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-240x563.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-375x879.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-520x1219.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>The nurses were not involved in the campaign to recall Rendon, said recall organizer Stephen Elzie, who has since dropped the effort and is now helping Democrat Maria Estrada challenge Rendon’s re-election bid. But the nurses union leapt into the governor’s race as one of the first labor unions to endorse Lt. Gov. Gavin Newsom. Single-payer has emerged as one of few issues on which the Democratic \u003ca href=\"http://www.capradio.org/articles/2017/10/22/single-payer-is-lone-contrast-in-first-meeting-of-democratic-gubernatorial-candidates/\">candidates disagree\u003c/a>.\u003c/p>\n\u003cp>Newsom and Delaine Eastin, the former state superintendent of schools, have both said they \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article174827261.html\">support the nurses’ single-payer bill\u003c/a>. Fellow Democrats Antonio Villaraigosa, former mayor of Los Angeles, and John Chiang, the state treasurer, say they want to expand health care so that everyone is covered, but not necessarily with the single-payer model that would abolish private health insurers and replace them with a government-run system.\u003c/p>\n\u003cp>A coalition of medical groups is lobbying against the single-payer bill, arguing that it makes more sense to protect and expand the federal Affordable Care Act, which has increased the number of Californians who have health insurance. Some members of the coalition have a history of spending big money to sway California elections. One of them, the doctors association, donated to Newsom before he voiced support for single-payer; it’s not yet clear if they will shift support to another candidate.\u003c/p>\n\u003cp>[contextly_sidebar id=\"DV8tS2sJT93TWXubLjjIDaylKLJdvynI\"]\u003c/p>\n\u003cp>Almost two-thirds of Californians like the idea of a statewide single-payer health care system, although enthusiasm drops significantly if it would require raising taxes, according to polling last year by the Public Policy Institute of California. Still, Californians didn’t cite health care as a top priority when asked last month what the Legislature and governor should focus on in 2018.\u003c/p>\n\u003cp>The Assembly just wrapped up a \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-chorus-of-healthcare-advocates-praise-1518049362-htmlstory.html\">series of hearings\u003c/a> on what it would take to create a health care system that covers all Californians. It exposed \u003ca href=\"https://www.scpr.org/news/2018/02/07/80550/these-legal-hurdles-could-trip-up-universal-health/\">many obstacles\u003c/a>—in both federal and state law—to swiftly enacting single-payer. For one, the state would need permission from the federal government—and perhaps an act of Congress—to shift billions of dollars from Medi-Cal and Medi-Care into a state-run single-payer plan. For another, if lawmakers raised taxes to fund single-payer, voters would likely have to approve changes to the California Constitution to allow the money to go to health care instead of schools. (That’s the only single-payer \u003ca href=\"https://www.euhc4ca.org/contact-us/\">initiative\u003c/a> trying to qualify for the ballot, and while a Silicon Valley tech consultant is gathering signatures for it, he doesn’t have support from the nurses union or any other well-financed group.)\u003c/p>\n\u003cp>Assemblyman Jim Wood, a Healdsburg Democrat who chaired the panel, called the single-payer bill “aspirational” and said he’s instead considering legislation that could help more Californians get health care without requiring permission from the federal government. One idea: extending subsidized health plans to adults who are undocumented immigrants.\u003c/p>\n\u003cp>“I believe we can actually get to single payer, once we go through a lot of study and a lot of work,” Wood said. “But this feels, at times, more like a litmus test.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"For now, single payer may be less a realistic policy blueprint than an organizing tool. And by that metric, advocates are making gains.","status":"publish","parent":0,"modified":1527191900,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1142},"headData":{"title":"Single-Payer Health Care in California? Why Advocates Are Playing the Long Game | KQED","description":"For now, single payer may be less a realistic policy blueprint than an organizing tool. And by that metric, advocates are making gains.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Single-Payer Health Care in California? Why Advocates Are Playing the Long Game","datePublished":"2018-02-16T21:46:01.000Z","dateModified":"2018-05-24T19:58:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11650534 https://ww2.kqed.org/news/?p=11650534","disqusUrl":"https://ww2.kqed.org/news/2018/02/16/single-payer-health-care-in-california-why-advocates-are-playing-the-long-game/","disqusTitle":"Single-Payer Health Care in California? Why Advocates Are Playing the Long Game","source":"CALmatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003cstrong>\u003ca href=\"https://calmatters.org/articles/author/laurel-rosenhall/\">Laurel Rosenhall\u003c/a>\u003c/strong>","path":"/news/11650534/single-payer-health-care-in-california-why-advocates-are-playing-the-long-game","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By many measures the rambunctious campaign for a single-payer health care system in California appears to be floundering.\u003c/p>\n\u003cp>A bill that would replace the existing health care system with a new one run by a single payer -- specifically, the state government -- and paid for with taxpayer money remains parked in the Assembly, with no sign of moving ahead. An effort by activists to recall Assembly Speaker Anthony Rendon for shelving the bill has gone dormant. And an initiative that would lay the financial groundwork for a future single-payer system has little funding, undercutting its chances to qualify for the ballot.\u003c/p>\n\u003cp>But even if single payer is a lost cause in the short term, advocates are playing a long game. For now, it may well be less a realistic policy blueprint than an organizing tool.\u003c/p>\n\u003cp>And by that metric, advocates are making gains.\u003c/p>\n\u003cp>Riding a wave of enthusiasm from progressive Democrats, supporters of single payer have effectively made it a front-and-center issue in California’s 2018 elections. It’s been discussed in virtually every forum with the candidates running for governor, emerged as a point of contention in some legislative races, and will likely be a rallying cry at the upcoming California Democratic Party convention.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“This issue is not going away,” said Garry South, a Democratic political consultant who has worked with the California Nurses Association, which sponsored the stalled \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201720180SB562\">single-payer bill\u003c/a>.\u003c/p>\n\u003cp>“The progressive elements who are supportive of the single-payer concept know that it’s not going to happen now, it’s not going to happen tomorrow. It’s a long-term process and Jerry Brown is gone as of January 2019.”\u003c/p>\n\u003cp>The governor has not had to stake a position on the bill because it skidded to a stop in the Assembly last summer without reaching his desk.\u003c/p>\n\u003cp>But state Sen. Toni Atkins, a San Diego Democrat who co-authored Senate Bill 562, said Brown was not receptive. Analyses peg the cost of a statewide single-payer system at between $330 billion and $400 billion -- far exceeding the state’s entire budget. That made it an anathema to Brown’s record of prioritizing fiscal stability for state government.\u003c/p>\n\u003cp>“When the governor saw that we introduced that bill... all he could look at me and do is shake his head and say, ‘$400 billion dollars.’ And I kept trying to say, ‘Can we back up and talk about what you've got to do to get (there)?’\" Atkins said in an interview.\u003c/p>\n\u003cp>“He wasn’t letting it go.”\u003c/p>\n\u003cp>Atkins, who will take over as Senate leader next month, said she’s not giving up on the goal of single-payer but does not expect it to happen this year. “People are polarized on this issue in a way that’s not good for coming together to get it done,” she said.\u003c/p>\n\u003cp>Led by the nurses association -- a labor union that \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">embraces firebrand activism\u003c/a> -- supporters of single-payer have targeted Rendon after he shelved the bill last summer, saying it lacked critical information on how to pay for a massive overhaul of the healthcare system. They peppered social media with images that not only portrayed the bill fight as a boxing match between Rendon and the nurses, but also depicted a knife labeled “Rendon” back-stabbing the bear symbol of California.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-medium wp-image-11650545\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/SinglePayerInfograph-800x1875.jpg\" alt=\"\" width=\"800\" height=\"1875\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-160x375.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-240x563.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-375x879.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/SinglePayerInfograph-520x1219.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>The nurses were not involved in the campaign to recall Rendon, said recall organizer Stephen Elzie, who has since dropped the effort and is now helping Democrat Maria Estrada challenge Rendon’s re-election bid. But the nurses union leapt into the governor’s race as one of the first labor unions to endorse Lt. Gov. Gavin Newsom. Single-payer has emerged as one of few issues on which the Democratic \u003ca href=\"http://www.capradio.org/articles/2017/10/22/single-payer-is-lone-contrast-in-first-meeting-of-democratic-gubernatorial-candidates/\">candidates disagree\u003c/a>.\u003c/p>\n\u003cp>Newsom and Delaine Eastin, the former state superintendent of schools, have both said they \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article174827261.html\">support the nurses’ single-payer bill\u003c/a>. Fellow Democrats Antonio Villaraigosa, former mayor of Los Angeles, and John Chiang, the state treasurer, say they want to expand health care so that everyone is covered, but not necessarily with the single-payer model that would abolish private health insurers and replace them with a government-run system.\u003c/p>\n\u003cp>A coalition of medical groups is lobbying against the single-payer bill, arguing that it makes more sense to protect and expand the federal Affordable Care Act, which has increased the number of Californians who have health insurance. Some members of the coalition have a history of spending big money to sway California elections. One of them, the doctors association, donated to Newsom before he voiced support for single-payer; it’s not yet clear if they will shift support to another candidate.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Almost two-thirds of Californians like the idea of a statewide single-payer health care system, although enthusiasm drops significantly if it would require raising taxes, according to polling last year by the Public Policy Institute of California. Still, Californians didn’t cite health care as a top priority when asked last month what the Legislature and governor should focus on in 2018.\u003c/p>\n\u003cp>The Assembly just wrapped up a \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-chorus-of-healthcare-advocates-praise-1518049362-htmlstory.html\">series of hearings\u003c/a> on what it would take to create a health care system that covers all Californians. It exposed \u003ca href=\"https://www.scpr.org/news/2018/02/07/80550/these-legal-hurdles-could-trip-up-universal-health/\">many obstacles\u003c/a>—in both federal and state law—to swiftly enacting single-payer. For one, the state would need permission from the federal government—and perhaps an act of Congress—to shift billions of dollars from Medi-Cal and Medi-Care into a state-run single-payer plan. For another, if lawmakers raised taxes to fund single-payer, voters would likely have to approve changes to the California Constitution to allow the money to go to health care instead of schools. (That’s the only single-payer \u003ca href=\"https://www.euhc4ca.org/contact-us/\">initiative\u003c/a> trying to qualify for the ballot, and while a Silicon Valley tech consultant is gathering signatures for it, he doesn’t have support from the nurses union or any other well-financed group.)\u003c/p>\n\u003cp>Assemblyman Jim Wood, a Healdsburg Democrat who chaired the panel, called the single-payer bill “aspirational” and said he’s instead considering legislation that could help more Californians get health care without requiring permission from the federal government. One idea: extending subsidized health plans to adults who are undocumented immigrants.\u003c/p>\n\u003cp>“I believe we can actually get to single payer, once we go through a lot of study and a lot of work,” Wood said. “But this feels, at times, more like a litmus test.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11650534/single-payer-health-care-in-california-why-advocates-are-playing-the-long-game","authors":["byline_news_11650534"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_19085","news_20191","news_23202","news_683","news_1054","news_22597","news_17286"],"affiliates":["news_18481"],"featImg":"news_11650544","label":"source_news_11650534"},"news_11641911":{"type":"posts","id":"news_11641911","meta":{"index":"posts_1591205157","site":"news","id":"11641911","score":null,"sort":[1515890313000]},"guestAuthors":[],"slug":"single-payer-healthcare-divides-gubernatorial-candidates-at-town-hall","title":"Single-Payer Healthcare Divides Gubernatorial Candidates at Town Hall","publishDate":1515890313,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>For more than an hour, Saturday's town hall meeting of gubernatorial candidates at the University of Southern California proceeded at a tame, predictable pace.\u003c/p>\n\u003cp>Democrats Gavin Newsom, Antonio Villaraigosa, John Chiang, and Delaine Eastin took turns criticizing President Trump's comments and policies, while Republicans John Cox and Travis Allen denounced the record of current Governor Jerry Brown.\u003c/p>\n\u003cp>Then the topic of single-payer health care came up.\u003c/p>\n\u003cp>The debate over whether to pioneer a system of government-run health care for all California residents once again divided the Democrats on stage.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"The current system is insolvent,\" said Newsom, the state's Lieutenant Governor. \"It is long overdue in this state.\"\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It also provided Villaraigosa and Chiang an opportunity to take shots at Newsom, who has taken on front-runner status in the race.\u003c/p>\n\u003cp>The two pushed Newsom and former State Superintendent Eastin to provide more details on how to pay for a single-payer plan.\u003c/p>\n\u003cp>Estimates show that $50-$100 billion in new spending would be needed to run the system in California, possibly through an increased payroll tax.\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">You gotta have a plan,\" said Villaraigosa, the former mayor of Los Angeles. \"Anybody that is telling you we should do it without a plan is selling you snake oil.”\u003c/span>\u003c/p>\n\u003cp>Appearing with the four Democrats on stage for the first time, Republicans Cox and Allen dismissed the idea of handing over control of health care to the government.\u003c/p>\n\u003cp>They focused much of their energy on attacking each others' conservative credentials, perhaps sensing that the only way to advance beyond the June primary is by consolidating the shrinking electorate of right-wing Californians.\u003c/p>\n\u003cp>As boos rained down from the Bovard Auditorium crowd, both Republicans defended President Donald Trump's immigration policies.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"The President is trying to work with Congress to get problems solved,\" said Allen, a State Assemblyman from Orange County. \u003c/span>\u003c/p>\n\u003cp>They also sparred over their dueling efforts to repeal California's new gas tax. A twelve cent increase at the pump went into effect last November, in order to fund road repair and infrastructure projects in the state.\u003c/p>\n\u003cp>Allen appeared to admit the \u003ca href=\"https://www.mercurynews.com/2018/01/12/gas-tax-repeal-measure-appears-to-miss-deadline-but-another-effort-could-reach-the-ballot/\" target=\"_blank\" rel=\"noopener\">failure of his own repeal measure\u003c/a>, when he encouraged the audience to support a separate repeal push backed by Cox, a San Diego businessman.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Travis, welcome to the fight on repealing the gas tax,\" Cox quipped.\u003c/span>\u003c/p>\n\u003cp>Saturday's debate may have also provided a preview of future attacks by Democrats on Newsom, who led the field in fundraising and every gubernatorial poll last year.\u003c/p>\n\u003cp>State Treasurer Chiang and Villaraigosa brought up \u003ca href=\"https://calmatters.org/articles/san-francisco-states-worst-county-black-student-achievement/\" target=\"_blank\" rel=\"noopener\">studies\u003c/a> that have found large gaps in the test results of African-American and white students in San Francisco, where Newsom served as mayor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"I don’t think we can gloss over the fact that San Francisco is the worst county in the state for African-American students,\" said Villaraigosa. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"Lieutenant Governor Gavin Newsom took heat from Republicans and Democrats for his support of single-payer health care at a town hall meeting at USC.","status":"publish","parent":0,"modified":1526161013,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":485},"headData":{"title":"Single-Payer Healthcare Divides Gubernatorial Candidates at Town Hall | KQED","description":"Lieutenant Governor Gavin Newsom took heat from Republicans and Democrats for his support of single-payer health care at a town hall meeting at USC.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Single-Payer Healthcare Divides Gubernatorial Candidates at Town Hall","datePublished":"2018-01-14T00:38:33.000Z","dateModified":"2018-05-12T21:36:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11641911 https://ww2.kqed.org/news/?p=11641911","disqusUrl":"https://ww2.kqed.org/news/2018/01/13/single-payer-healthcare-divides-gubernatorial-candidates-at-town-hall/","disqusTitle":"Single-Payer Healthcare Divides Gubernatorial Candidates at Town Hall","path":"/news/11641911/single-payer-healthcare-divides-gubernatorial-candidates-at-town-hall","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For more than an hour, Saturday's town hall meeting of gubernatorial candidates at the University of Southern California proceeded at a tame, predictable pace.\u003c/p>\n\u003cp>Democrats Gavin Newsom, Antonio Villaraigosa, John Chiang, and Delaine Eastin took turns criticizing President Trump's comments and policies, while Republicans John Cox and Travis Allen denounced the record of current Governor Jerry Brown.\u003c/p>\n\u003cp>Then the topic of single-payer health care came up.\u003c/p>\n\u003cp>The debate over whether to pioneer a system of government-run health care for all California residents once again divided the Democrats on stage.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"The current system is insolvent,\" said Newsom, the state's Lieutenant Governor. \"It is long overdue in this state.\"\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It also provided Villaraigosa and Chiang an opportunity to take shots at Newsom, who has taken on front-runner status in the race.\u003c/p>\n\u003cp>The two pushed Newsom and former State Superintendent Eastin to provide more details on how to pay for a single-payer plan.\u003c/p>\n\u003cp>Estimates show that $50-$100 billion in new spending would be needed to run the system in California, possibly through an increased payroll tax.\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">You gotta have a plan,\" said Villaraigosa, the former mayor of Los Angeles. \"Anybody that is telling you we should do it without a plan is selling you snake oil.”\u003c/span>\u003c/p>\n\u003cp>Appearing with the four Democrats on stage for the first time, Republicans Cox and Allen dismissed the idea of handing over control of health care to the government.\u003c/p>\n\u003cp>They focused much of their energy on attacking each others' conservative credentials, perhaps sensing that the only way to advance beyond the June primary is by consolidating the shrinking electorate of right-wing Californians.\u003c/p>\n\u003cp>As boos rained down from the Bovard Auditorium crowd, both Republicans defended President Donald Trump's immigration policies.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"The President is trying to work with Congress to get problems solved,\" said Allen, a State Assemblyman from Orange County. \u003c/span>\u003c/p>\n\u003cp>They also sparred over their dueling efforts to repeal California's new gas tax. A twelve cent increase at the pump went into effect last November, in order to fund road repair and infrastructure projects in the state.\u003c/p>\n\u003cp>Allen appeared to admit the \u003ca href=\"https://www.mercurynews.com/2018/01/12/gas-tax-repeal-measure-appears-to-miss-deadline-but-another-effort-could-reach-the-ballot/\" target=\"_blank\" rel=\"noopener\">failure of his own repeal measure\u003c/a>, when he encouraged the audience to support a separate repeal push backed by Cox, a San Diego businessman.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Travis, welcome to the fight on repealing the gas tax,\" Cox quipped.\u003c/span>\u003c/p>\n\u003cp>Saturday's debate may have also provided a preview of future attacks by Democrats on Newsom, who led the field in fundraising and every gubernatorial poll last year.\u003c/p>\n\u003cp>State Treasurer Chiang and Villaraigosa brought up \u003ca href=\"https://calmatters.org/articles/san-francisco-states-worst-county-black-student-achievement/\" target=\"_blank\" rel=\"noopener\">studies\u003c/a> that have found large gaps in the test results of African-American and white students in San Francisco, where Newsom served as mayor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"I don’t think we can gloss over the fact that San Francisco is the worst county in the state for African-American students,\" said Villaraigosa. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11641911/single-payer-healthcare-divides-gubernatorial-candidates-at-town-hall","authors":["227"],"programs":["news_72"],"categories":["news_8","news_13"],"tags":["news_17627","news_21109","news_20191","news_16","news_23202","news_683","news_592","news_20737","news_22597","news_17286","news_22379"],"featImg":"news_11641950","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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