With the collapse of the Schwarzenegger/Nuñez health care plan, the obvious inequities in a broken system continue. And legislators who have the motive, means, and opportunity to do what they can to reverse that have an obligation. Here’s what I wrote in Speaker Nuñez’ diary on the day of the Senate Health Committee vote:
…for whatever reason, your compromise isn’t going to pass today. Now do you stamp your feet and wag a finger at those who submarined it and sit in the corner, or do you work to enact something that would be meaningful to California’s many uninsured. That’s the position of the moment, and so don’t tell us why others have messed up your deal, tell us what you’re going to do right now to pick up the pieces and move on.
I’d start with guaranteed issue, confidentially.
I am disappointed to report that the Speaker has gone the stamping of feet route.
Núñez suggested that support for a government-run, “single-payer” system lurked in the background and wound up undermining AB X1 1.
Schwarzenegger vetoed a government-run proposal in 2006. Another single-payer measure, Senate Bill 840 by Sen. Sheila Kuehl, D-Santa Monica, is pending in the Assembly.
Núñez vowed to subject it to the same kind of scrutiny his now-dead plan received. “I think it’s time,” he said, “for us to have an honest conversation about single payer.”
He said that lawmakers “cannot create the false sense of hope that we can do something better if it hasn’t been tested and put through the same type of scrutiny that our effort was put through.”
What good is this “You drank my milkshake, now I drink your milkshake!” strategy? Is it really worth it to 6.5 million uninsured Californians to react to the demise of one health care plan by bulldozing another health care plan? This solipsism, the lashing out, the power plays, is exactly what’s wrong with Sacramento.
The lessons of 1994 are that a combination of bad timing and the lack of openness in the process is what killed the Clinton health care plan. That’s exactly what derailed this plan, and the proper response is to fix the eternal budgeting problems that will always make an overhaul supremely difficult, and to build a coalition that includes the grassroots in a deliberative way. The opportunity is going to be there if the budgeting structure is righted. But the CDP would need to get behind it on the ground. The groups that do appear, and let me stress that word, appear to be holding out for single payer, need to be brought into the process rather than assailed. There are national allies like MoveOn and the Campaign for America’s Future and the whole of the progressive movement that could be invited into the process. And there are small-bore reforms that we could enact right now, that would prepare the ground very well for a national program like Ron Wyden’s Healthy Americans Act or the proposals of the Democratic candidates, which have a much more stable federal fiscal structure on which to balance.
Too much of this process has been focused on tearing each other apart, and it’s very upsetting to see the leadership continuing down that path.