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CA Senate passes single payer, still has no plan how to get $400 Billion a year for it
Hotair ^ | 06/03/2017 | Ed Morrissey

Posted on 06/03/2017 8:07:48 PM PDT by SeekAndFind

And you thought House Republicans dumped a mess into the hands of their Senate counterparts with the American Health Care Act. At least Congress put together some sort of fiscal plan to fund the changes in the AHCA at the federal level. In California, supermajority Democrats in the state Senate passed aSB562, a single-payer health system law, with not even any proposals to find the $400 billion a year it will cost the Golden State.

That, by the way, is almost three times the state budget that goes into effect in four weeks:

The California Senate voted Thursday to advance a longshot single-payer health care plan that would replace insurance companies with government-funded health care for everyone in the state.

The move came even as proponents acknowledged they don’t know how to pay its huge $400 billion price tag. But supporters say the measure means big savings for families.

So why move on it now? According to the rules in the state legislature, Democrats had to play Beat the Clock to keep the bill alive:

The measure would have died if it failed to clear the Senate this week. Democrats said they wanted to keep it alive as the Assembly tries to work out a massive overhaul of the state health care system.

In other words, Democrats in the upper chamber didn’t trust themselves to pass it again … or to figure out a funding plan. That leaves their colleagues in the lower chamber to craft a funding plan that comes up with at least $200 billion a year to pay for it, and that’s only if the federal government provides a waiver to use Medicare and Medicaid funds to pay the other $200 billion a year.

It also assumes that California can properly manage a single payer system. State senator Janet Nguyen isn’t optimistic based on the state’s track record so far:

“This bill idealistically assumes California can deliver on its promise to 40 million people,” said Sen. Janet Nguyen, a Fountain Valley Republican. “Yet… the state is failing to sustain the current government-funded system, Medi-Cal, that only serves 14 million people.”

That doesn’t include failures on a variety of other programs, such as the high-speed rail system that has yet to build any length of track despite being under way for almost a decade since its 2008 approval by referendum. Or, for that matter, properly funding and reforming the state’s pension system, which is bankrupting local communities. Perhaps funding these projects should take precedence over the seizure of a major part of the economy, the resources for which the state has no idea to acquire.

Just what happens in a single-payer system to provider access? Let’s let the LA Times and USC health care economist Darius Lakdawalla provide a little fantasy-to-reality contrast:

“Doctors would no longer have to deal with…hundreds of payers,” Lighty said. “You now have a single payer who will pay reliably or swiftly.”

Depending on how the program decides to reimburse for care, that could affect how much providers get paid. Lighty said the program would likely use the same rates as Medicare, which is less than what commercial insurers pay but more than Medi-Cal.

“Imagine what will happen if physician reimbursements fell by 15 to 20%, and those same reimbursements did not fall in Washington, Oregon, Arizona — [states that] are not implementing single-payer,” Lakdawalla said. “What happens to the population of doctors practicing in California?”

The question right now is even more basic. How can advocates claim that government will pay swiftly and reliably with less red tape by adopting a Medicare model — for a system that the legislature has no idea how to fund? Insanity, thy name is California.


TOPICS: Culture/Society; Government; News/Current Events; US: California
KEYWORDS: bloggers; california; healthcare
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To: SeekAndFind

It can float bonds like Puerto Rico.


21 posted on 06/03/2017 8:36:40 PM PDT by kaehurowing
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To: Fungi

*nvrmnd*


22 posted on 06/03/2017 8:37:12 PM PDT by null and void ( The Flat Earth Society claims they have members all around the globe!)
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To: EdnaMode

They are busy filming in Canada (where they get great tax breaks)


23 posted on 06/03/2017 8:39:12 PM PDT by BookmanTheJanitor
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To: SeekAndFind

“CA Senate passes single payer, still has no plan how to get $400 Billion a year for it”

Same plan as always.

Have the federal government extort if from taxpayers in the other 49 states.


24 posted on 06/03/2017 8:39:54 PM PDT by Vlad The Inhaler (Best Long Term Prepper Tactic: Beat The Muslim Demographic Takeover - Have Big Families)
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To: SeekAndFind
California can print its own currency, in unlimited quantities. Or at least they can do the equivalent. I vaguely recall that one year when I was living in California, they had no money to pay refunds to people who had overpaid their state income tax; so they printed IOUs that were supposed to be sort of like money until they eventually became redeemable for U.S. currency.
25 posted on 06/03/2017 8:39:58 PM PDT by snarkpup (The alligators do not want the swamp drained.)
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To: CincyRichieRich

“Please tell me there is no way to bail them out $$$ without president Trump’s approval.”

Certainly. The entire California proposed budget by the governor is for $179,450,102. The requirement for California’s health care plan is for $400,000,000,000. Do the math. A little short there Moonbeam. Even Trump would find that amusing. And I sincerely doubt Trump would try to find the money to give to him to do a single payer insurance from a state that has defied federal law. Like my old man said, “Don’t defecate where you eat.”

rwood


26 posted on 06/03/2017 8:42:56 PM PDT by Redwood71
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To: null and void
You are right most enviable Nullness; it is just that your first post was obtuse, difficult to understand and quantify in terms of an ongoing mycological observation into ectomycorrhizal fungi. It is all clear now. May the Void embrace the Nullness.
27 posted on 06/03/2017 8:44:18 PM PDT by Fungi (Mucor roxii is not a rock band.)
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To: SeekAndFind

What will happen to Californians who can no longer pay their taxes?


28 posted on 06/03/2017 8:45:09 PM PDT by Nuc 1.1 (Nuc 1 Liberals aren't Patriots. Remember 1789!)
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To: SeekAndFind

Many decades of our Federal Reserve, debt-based, fiat currency, and massive government and personal debt funding every leftist social engineering scheme have come to this - politicians who are so completely disconnected from reality, that money literally is no limit to their fantasies


29 posted on 06/03/2017 8:49:39 PM PDT by PGR88
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To: Chode

..." Go Moonbeam...???...now Mexico will unofficially be covered under medicare"

30 posted on 06/03/2017 9:02:04 PM PDT by Doogle (( USAF.68-73..8th TFW Ubon Thailand..never store a threat you should have eliminated)))
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To: SeekAndFind
Easy.

Put a surcharge on the high speed rail tickets. Tax the hell out of the proceeds from the sales of carbon credits.

They can call it their wet dream tax. Single payer is the same wet dream as their high speed rail and carbon credits

31 posted on 06/03/2017 9:04:26 PM PDT by lewislynn
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To: SeekAndFind

Jerry Moonbeam Brown will call Californians a bunch of freeloaders and they’ll ante up.


32 posted on 06/03/2017 9:05:53 PM PDT by OrioleFan (Republicans believe every day is July 4th, Democrats believe every day is April 15th.)
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To: Doogle
100%
33 posted on 06/03/2017 9:06:40 PM PDT by Chode (My job is not to represent the world. My job is to represent the United States of America-#45 DJT)
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To: SeekAndFind

I say again . One earthquake away from obscurity. Good riddence! ...


34 posted on 06/03/2017 9:13:07 PM PDT by VRWC For Truth (FREEP U, Schmucky O'Putz!)
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To: SeekAndFind

“that’s only if the federal government provides a waiver to use Medicare funds to pay the other $200 billion a year.’

uh, yeah. right. this simply robs the golden years health care of those who worked all their lives and gives it to the hordes of foreign invaders who illegally crossed our southern border.


35 posted on 06/03/2017 9:14:38 PM PDT by catnipman ( Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
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To: FlingWingFlyer

Just follow Venezuela foot step,how can it go wrong?


36 posted on 06/03/2017 9:15:08 PM PDT by Libertynotfree (Over spending, Over taxes, and Over regulation)
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To: Parley Baer
It will be cheaper for everyone.

Let's see. $400,000,000,000 / 40,000,000 = $10,000 per head per year.

So a family of four will need to cough up $40,000 in taxes per year to pay for this. Yep. That's cheaper than what we have...

37 posted on 06/03/2017 9:18:39 PM PDT by 17th Miss Regt
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To: SeekAndFind

I probably did not win Powerball tonight, but I think I’ll finance a villa in Bora Bora. Just because it’s the right thing to do.


38 posted on 06/03/2017 9:21:35 PM PDT by GnuThere
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To: Nuc 1.1

They’ll go on WELFARE!!!!


39 posted on 06/03/2017 9:24:26 PM PDT by 5th MEB (Progressives in the open; --- FIRE FOR EFFECT!!)
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To: null and void

What right do they have to assume Medicare funding and reposnsibility from the Federal Government? Why should Medicare recipients allow their system to be merged with .medicaid...or whatever California System will provide care to illegal aliens?

And, as Medicare services suffer thereby, what stops all Ca.ifornia recipients from moving to Texas (note: Oregon and Nevada might not be far enough away).


40 posted on 06/03/2017 9:26:43 PM PDT by RossA
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