California’s Healthcare Battle In A Nutshell

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Leave it to the Washington Post to give the best synopsis I’ve read of the battle currently underway in California between the Republican governor (Schwarzenegger) and the Democratic legislature over efforts to create a statewide healthcare plan. Though California hasn’t actually led the way in this kind of initiative (look to Hawaii and, much later, Massachusetts), its decision—due in three weeks—may well set the agenda for other states and presidential candidates to follow.

The urgency here, reports the Post, is that Californians are less likely to be covered than residents of 45 other states, and those who are covered are concerned it’s not going to be there for them when they need it. . . [sure is a familiar feeling in my world, read: self-employed and paying scary, ever-increasing percentage of meager earnings for dubiously useable health insurance. . .] Read here for examples of why that is.

From the WP:

Under both the governor’s proposal and the Democrats’, employers would have to spend a minimum amount on health care for workers or pay money into a state-run purchasing pool through which people could buy private insurance. But the employer’s fee under the Democrats would be higher—7.5 percent of payroll, compared with 4 percent of payroll under Schwarzenegger’s plan. Another difference: The governor would require physicians to pay 2 percent of their revenue to the state, and hospitals 4 percent, to help finance the new system. The Democrats’ plan has no such charges. The governor would require everyone to have a basic level of health insurance; the Democrats have no individual mandate. Both plans would expand public programs and subsidized coverage for low-income families. Neither is cheap. Schwarzenegger’s plan would cost $12 billion annually and cover an estimated 4.1 million people; the Democrats’ would cost $8.3 billion and cover 3.4 million.

Let’s hope they reach a tenable consensus and trigger tons o’ momentum on a national agenda. Once again, Californians, have more power than they realize. . . JULIA WHITTY

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