Sheila Kuehl has announced a plan to offer single-payer all-encompassing health care for everyone in California. With amazing comic timing, she’s doing at a time when the state is reeling from a half-decade of insane government overspending combined with political gridlock on taxes. From The Bee:
Kuehl said the legislation would provide more services to more Californians by slashing administrative costs and enabling the state to negotiate lower prices for pharmaceuticals.
The legislation “sets up health care insurance through the state,” Kuehl said. “Each person and each business would pay into that.”
The system would be headed by an elected commissioner. Eligibility would be conferred based on residency, a provision that opponents said would encourage people with existing illnesses to move to California.
Kuehl’s legislation seeks to combine all federal, state and county money spent on health care with payroll taxes and eliminate patient deductibles and co-payments.
It’s interesting to wonder if Democratic Party strategists think this a good thing; that we’ll make a stand here in California, and see if we can pull the state further to the Blue. Kuehl is safe, because she represents Santa Monica. But boy, is this going to play badly in the rest of California – and boy, is it bad policy. Republican strategists have to be gleeful because from their point of view, they’ve got good templates for where this is going to lead.
From Democratic Governor Phil Breseden of Tennessee:
TennCare began in January 1994 as an experiment to expand Tennessee’s Medicaid program to deliver health care to a larger number of people for the same amount of money. But the program was beset by problems and cost overruns. Over the course of a decade, TennCare grew at an unexpected rate and now consumes roughly one in three dollars in the state budget. Prescription-drug costs are particularly problematic, in part due to the legal constraints. For example, TennCare’s pharmacy benefit in recent years has grown at a rate of 26% annually versus average growth of 17% in neighboring states’ healthcare plans. The total cost of TennCare’s pharmacy benefit ($2.11 billion) now is greater than the cost of Tennessee’s higher education system ($1.89 billion).
Yup, Sheila, you believe that doing this in California – a state with a larger and more litigious population, a larger population of people living in the cash economy, and a larger population of uninsured and elderly than Tennessee is a good idea. But God, I hope you’re the only one.
I think health care is broken in this nation. But, to be honest, it’s broken pretty much everywhere else as well. I’d like to see some kind of radical rethinking of it, but I’d like it to be one based in reality…