The San Francisco Health Access Plan has gotten a bunch of national attention in the last few days. Newsom doesn’t support the current plan that Ammiano proposed, but he supports the concept in general. I suppose he wants to work on the business aspect of it.
One day after announcing the proposal that would make San Francisco the first U.S. city to provide access to taxpayer-subsidized health care for every uninsured resident, Newsom pitched his ambitious plan during local radio and newspaper interviews — knowing that the question of who should be required to pay for it is already generating controversy. … The proposal would cost about $200 million annually, with more the half the money coming from city funds, about $38 million from local business contributions, and the remainder from monthly premiums paid by plan participants.
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Newsom, who owned numerous local businesses before taking office in 2004, said he provided health insurance to his employees. He said he does not support Ammiano’s legislation in its current form, but he nonetheless challenged the business community — known for being strong mayoral allies — and employers who do not provide health care to “step up.”
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“We have been at every public hearing saying one thing: affordability, affordability, affordability,” Kevin Westlye, executive director of the Golden Gate Restaurant Association, told the supervisors. “It needs to be affordable. The way it’s constructed, it’s not.” Westlye sat on a 41-member task force created by Newsom to study and develop the health care plan. (SF Chron 6/22/06)
So, I suppose that this is going to come down to a “progressives vs. businesses” thing like most other big efforts in SF. However, with the Mayor’s support, I imagine that this one will happen. Funding seems in flux, and the exact parameters of the deal are a little sketchy right now. But, as I understand it, SF is essentially getting into the HMO business. They will provide orimary care providers and allow preventive care. However, the program participants will have no benefits outside of the county.
I think this is a great idea, at least as an experiment. We spend so much money on ER care that is essentially unnecessary. There is a reason that the U.S. gets the least value of our health care dollar of any major industrial nation. After the fact that we spend $0.35 of each dollar on the insurance complex, there is the fact that we spend way too much on emergency care. It’s expensive and many of the cases could be handled a lot more efficiently in regular clinics.
So, there are details to work out, but I applaud SF for this grand gesture. We’ll see how it works in the next few years.