Yesterday I attended an event at the Santa Monica Democratic Club with State Senator Sheila Kuehl, who’s devoted the latter part of her legislative career to promoting and advancing SB 840, the single payer universal health care bill that the Governor vetoed last year. Kuehl keenly understands the political dynamic of the health care debate in the state this year. The Governor has vowed to pass a “universal” health care law this year, and he has vowed to veto Kuehl’s bill. Nobody has brought the Governor’s initial program forward as a bill, and it’s likely that nobody ever will. Both Senator Perata and Speaker Nunez have bills that are making their way through the relevant committees. Sen. Kuehl’s bill has passed as well. The Republican Assembly and Senate have forwarded piecemeal bits of legislation that don’t attempt to deal with health care in any kind of comprehensive way.
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Right now the advocates of single payer are continuing to build support. Apparently there are ongoing talks with some hospitals to get them aboard. It is likely that SB 840 will get to the Governor’s desk again, and it’s assured that he will veto. Politically speaking, it’s positive (in my view) to keep advancing the same bill year after year and daring the Governor to betray his constituents and denying them the only comprehensive plan that ties health care to residency, not employment, and that will ensure that everyone in the state is covered with quality care. If the Governor runs for higher office, that legislative history will be important. Kuehl said that the Governor is not particularly interested in policy details; he wants to be able to sign something that he can call universal health care, whether the appellation applies or not. Kuehl has signed on as a co-sponsor on Sen. Perata’s bill so that she can help steer it in a direction closer to universal care. This is smart. But the important thing is that any bill that’s passed this year (and there is likely to be something) should be seen as a stepping stone to the ultimate goal of single payer. Because a “universal” program passes in 2007 does not mean the end of SB 840. Kuehl, and whoever succeeds her in advancing the bill, will continue to build support, will continue to point to their funding mechanisms and study reports that prove the viability of single payer, and will continue to put forth a bill until there’s a governor who can sign it or a majority of Californians who can vote for it in an initiative form. That initiative, according to Kuehl, should not be advanced until there is additional support among hospitals and doctors.
I am happy that Kuehl is using 840 as a means to get a better bill passed this year, while keeping focused on the ultimate goal of getting a real health care system passed that covers every single Californian. The only way to rein in soaring costs is to ensure a baseline of care from a central pool that everybody pays into, with a system that is not based on making money but caring for people. And it’s important to note that Kuehl’s bill is not a pie-in-the-sky idea. This is a detailed report on the financial structure of the proposal, showing how every single dollar can be accounted for, with every Californian able to access affordable care while saving total medical costs. It’s a positive thing for the country that a plan of this nature is being offered with maximum seriousness and realism. If it can be done in California, it can be done across the nation.