CALIFORNIA FOCUS
FOR RELEASE: FRIDAY, FEBRUARY 6, 2018 OR THEREAFTER
FOR RELEASE: FRIDAY, FEBRUARY 6, 2018 OR THEREAFTER
BY THOMAS D. ELIAS
“SINGLE-PAYER EMERGING AS KEY ELECTION ISSUE”
After the contentious, sometimes raucous first debate of
this year’s primary election season, it became clear that issues like offshore
oil drilling, affordable housing, President Trump’s tax changes, immigration
and border control would likely not be the central themes of the campaign to
succeed Jerry Brown as governor.
The Democrats who dominate California politics essentially
agree on all those.
That left single-payer health care as the likely theme for
contention. It’s an issue gaining prominence every day as Trump systematically
hacks away at the Affordable Care Act (also known as either Obamacare or the
ACA) and its links to Medicaid, known here as Medi-Cal.
The emphasis on single-payer is just fine with Lt. Gov.
Gavin Newsom, the former San Francisco mayor and early frontrunner in this
race.
Newsom may be best known for his pioneering 2004 order that
saw his city begin issuing marriage licenses to same-sex couples, a practice
that courts shut down months after it began but still set a pattern for the rest
of America.
Yet, in an interview earlier in the campaign, Newsom made clear
that while he thinks what he did for gay couples was a major achievement, he considers
what he did with health care just as important.
“Same sex marriage was profound,” Newsom said. “We changed
the whole trajectory of the debate on that. But I’m at least as proud of what
we did providing universal health care in San Francisco. As the ACA is reduced,
our plan will address people’s uncertainty. It makes San Francisco uniquely situated
to weather the health care storm. These kinds of causes drive me. That’s why
I’m running. Some things are bigger than politics. I consider health care a
civil rights issue.”
So you can count Newsom, who had a lead of about 10 points
over second-place Antonio Villaraigosa, the former Los Angeles mayor, as a
supporter of the single-payer plan that’s knocked around in the state
Legislature for the last decade.
The idea also gets support from candidate Delaine Eastin,
the former state schools superintendent, while Villaraigosa and state Treasurer
John Chiang, the fourth major Democrat in the running, like the general idea,
but made clear in the mid-January debate that they want to see many details
before backing any such plan.
Villaraigosa, 14 years older than Newsom, allowed that while
he is “philosophically for it,” he also worries about seniors being suddenly
switched off the proven national single-payer Medicare plan without knowing
what a new system might look like. “You have to have a plan,” he chided Newsom.
The two Republicans in the debate, Orange County
Assemblyman Travis Allen and John Cox, a San Diego County businessman, both
were clear in opposing single-payer because of the large payroll taxes it would
need to levy. San Francisco employers this year will pay $2.83 per hour worked
for all employees earning below $97,000 per year.
Said Cox, “Why stop at health care? Why don’t we have
single-payer food? Why don’t we have single-payer housing?”
Of course, Medicare depends heavily on payroll taxes, too,
and most backers of a state single-payer plan suggest that Californians’
contributions to that system could be switched to a new state organization,
which – like San Francisco – would also tax covered persons based on their
incomes.
This roused an objection from Chiang, who asked “How much
are you going to increase payroll taxes?...Are we going to make it difficult to
do business in California?”
While Newsom did not get into specifics of the San
Francisco plan during that debate, it’s clear his city’s single-payer plan has
not chased away companies like Mozilla Firefox, Twitter and more, part of a
long-running business boom mostly fueled by high-tech companies and their
talented workforce, largely drawn from area universities like Stanford and UC
Berkeley.
But Newsom did chide his rivals, saying California needs a
governor who’s not afraid to act. He made the same point in the earlier
interview. “I want to be known for looking around the corner,” he said. “I will
not be timid. We need sustainable political thinking, not politics as usual.”
One thing that first debate made clear: On single-payer
health and other issues, this year will not likely play out as politics as
usual.
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Email
Thomas Elias at tdelias@aol.com. His book, "The Burzynski Breakthrough:
The Most Promising Cancer Treatment and the Government’s Campaign to Squelch
It," is now available in a soft cover fourth edition. For more Elias
columns, visit www.californiafocus.net.
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