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California’s health care report has more questions than answers

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California’s health care report has more questions than answers


When he was working for governor in 2018 Gavin Newsom enthusiastically referred to as for a “single-payer” well being care system that might cowl all Californians with little or no out-of-pocket expense.

As Newsom was campaigning, the state Senate handed a single-payer invoice and Newsom endorsed it, saying there was “no motive to attend round.”

“I’m bored with politicians saying they help single-payer however that it’s too quickly, too costly or another person’s drawback,” Newsom mentioned, drawing reward from the California Nurses Affiliation, the measure’s chief sponsor.

The laws lacked a financing system and stalled within the Meeting. Newsom’s election elated single-payer advocates, however he didn’t make a push for it, choosing a fee to review the way it may very well be realized. When one other single-payer invoice handed the Senate, he made no effort to win Meeting approval and it, too, died with no flooring vote this yr.

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This week, Newsom’s Wholesome California for All Fee delivered its report, endorsing — in idea — “unified financing” that might pay for common well being care protection, however stopping properly in need of a selected proposal.

“A system of unified financing is uniquely positioned to rework care supply and to shift the facility that lies in well being and well being care to learn those that have too usually been missed,” fee chairman Mark Ghaly, Newsom’s prime well being care official, mentioned in a canopy letter.

The report declared that by folding in cash now spent on well being care by federal, state and native governments in California and imposing some taxes, such a system might gradual the expansion in prices, now pegged at $517 billion a yr, whereas extending protection to everybody and saving lives.

It’s evident that fee members usually disagreed on specifics, which led to a report with a listing of potential choices slightly than a transparent pathway to a complete system. Thus, it left extra questions than solutions.

How would California persuade the feds to go alongside? What sort of taxes can be raised and who would pay them? What companies can be included? How about co-pays? How would care be structured?

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The 2 greatest sticking factors are persuading the federal authorities to present California tens of billions of {dollars} now spent on Medicare, Medi-Cal, Obamacare and different federally financed packages, and elevating a minimum of $200 billion in new taxes.

Federal compliance would in all probability take congressional motion, exposing California to its many critics in Congress. The 2 latest single-payer payments in California died as a result of legislators have been unwilling to take the warmth for growing taxes.

It’s truthful to say that Newsom and the Legislature are left just about the place they’d been previous to the fee’s creation — having to make many particular and troublesome choices in the event that they wish to pursue the trigger.

By happenstance, the fee issued its report simply because the UCLA Middle for Well being Coverage Analysis printed one other tackle well being care in California, concluding that even have been a single-payer system to turn into actuality, it might not be sufficient to make California a more healthy state.

Its report calls for outlining “well being” in a much wider sense than entry to medical care, suggesting that “well being and wellness embody an understanding of the social determinants of well being and are scaled for the entire state inhabitants (and) well being is very built-in with social wants akin to housing or training…”

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The UCLA report implicitly proposes that policymakers shouldn’t solely create a common well being care system however undertake an entire socioeconomic makeover for California that might eradicate disparities and inequalities.

It’s, nonetheless, simply as imprecise because the well being care fee’s report on how these miraculous objectives can be realized.

CalMatters is a public curiosity journalism enterprise dedicated to explaining how California’s state Capitol works and why it issues. For extra tales by Dan Walters, go to Commentary.



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California

Northern California driver dies after vehicle found in floodwaters, 1 other found dead

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Northern California driver dies after vehicle found in floodwaters, 1 other found dead


PIX Now morning edition 11-23-24

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PIX Now morning edition 11-23-24

09:29

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SONOMA COUNTY – A man died when he was found in a flooded vehicle after an atmospheric river dumped heavy rain in Northern California, authorities said.

In Sonoma County’s Guerneville, first responders responded to a report around 11:30 a.m. Saturday for a vehicle that was seen in floodwaters near Mays Canyon Road and Highway 116.

The caller believed that at least one person was inside the vehicle.

When crews arrived, they said the vehicle was recovered but a man was pronounced dead at the scene. He has not been identified.

The Russian River, which flows through Guerneville, reached the flood stage on Friday evening and exceeded what was forecasted.

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This area went into a flood warning around 2 p.m. Friday and was still in place as of Saturday afternoon.

Guerneville is about 75 miles north of San Francisco.

Around 8:45 a.m. Saturday in Santa Rosa, a man was found dead in Piner Creek just south of Guerneville Road, the police department said. His death is being investigated. 

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Laura Richardson completes a political comeback, winning tight race to represent South L.A. in the California Capitol

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Laura Richardson completes a political comeback, winning tight race to represent South L.A. in the California Capitol


Laura Richardson emerged the victor of the competitive, costly and feisty election to win a South Los Angeles seat in the state Senate — completing her political comeback more than 10 years after a tumultuous tenure in the House of Representatives.

Richardson narrowly won the race against Michelle Chambers, a community justice advocate who faced accusations of misconduct in prior public office. The Associated Press called the race Friday after weeks of ballot counting.

The contest between two Democrats with similar social policies but differing views on crime and business attracted huge spending by special interests.

Independent expenditure committees poured more than $7.6 million into the race, making it the most expensive election for state Legislature this year, according to California Target Book, a political database. Negative campaigning dominated the race as business interests and labor unions battled for their favored candidate.

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Richardson, a moderate Democrat, will join a Democratic supermajority in the Legislature. But Republicans are on track to flip three legislative seats this year, one in the Senate and two in the Assembly.

Richardson’s biggest supporters were businesses, including PACs funded by oil companies, and law enforcement associations that said they advocated for candidates who shared their beliefs on free enterprise and public safety. Meanwhile, Chambers’ biggest portion of support came from healthcare workers and teachers unions, who spent millions of dollars backing her.

Chambers wrote in a statement she was “proud of the campaign we ran,” thanking supporters who canvassed, phone-banked or cast votes for her “vision of better jobs, better wages and a California that works for everybody, not just the wealthy and well-connected.”

“This was the closest state senate race in the state, but unfortunately it appears that we will fall just short of victory,” she added. “Our people-powered efforts were not quite enough to overcome millions of dollars in outside spending on lies from the oil and tobacco industry and their allies.“

Richardson will succeed Sen. Steven Bradford (D-Gardena) in the 35th District, which encompasses the cities of Carson, Compton and stretches down to the harbor. Bradford, who had endorsed Chambers, said he believed both candidates were “qualified to do the job.”

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Bradford, who championed reparations legislation during his tenure, hoped the future senator would be “willing to meet with all factions of the community, because it’s a great diverse need in this district.”

“I’m also deeply sad to see how negative this campaign was, probably one of the most negative campaigns I’ve experienced in my 30-plus years of being involved with elections,” he said. “I just hope that we can come together after such a negative campaign, regardless of who the victor is, and understand that we have to work together.”

Richardson and Chambers took aim at each other’s past controversies. For Chambers, who had picked up the endorsement of various state and local elected officials, opposition groups seized on a criminal misdemeanor charge from 30 years ago. She was also accused of bullying and intimidation from her time as a Compton City Council member, allegations that she has repeatedly denied.

Richardson faced criticism over her tenure in Congress, where a House Ethics Committee investigation found her guilty in 2012 of compelling congressional staff to work on her campaign. The committee report also accused Richardson of obstructing the committee investigation “through the alteration or destruction of evidence” and “the deliberate failure to produce documents.”

Richardson admitted to wrongdoing, according to the report, and accepted a reprimand and $10,000 fine for the violations. She previously said that during her time in Congress, Republicans frequently targeted members of the Black Caucus. After she lost her reelection bid for a fourth term, Richardson said she worked at an employment firm to improve her managerial skills and has recognized previous mistakes.

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“It’s been said voters are very forgiving, and if you stand up and you accept responsibility and you improve in the work that you do — we need people who’ve been through things, who understand what it’s like to have had difficulties,” she previously told The Times. “And so that’s exactly what I did. I didn’t shy away from it.”



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72-hour rain totals across Northern California

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72-hour rain totals across Northern California


72-hour rain totals across Northern California – CBS Sacramento

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Here is a look at how much rain has accumulated across Northern California as of Friday night.

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