Why progressives' single-payer health care dream would bankrupt California

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Why progressives' single-payer health care dream would bankrupt California
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California progressives’ single-payer health care fever dream is back. This time, the cost could hit half a trillion dollars a year. Single-payer means the government pays, for everything. Several candidates for governor are promising just such a government takeover of the state’s health insurance system.

says, “Bernie Sanders was right. We need single-payer health care.” His campaign ads place a single-payer system at the center of his agenda. Betty Yee,a bid to bulldoze private health insurance and replace it with a state-run health insurance monopoly.more than the entire state budget. Even the sunnier projections run into the hundreds of billions of dollars.LAUSD Superintendent Alberto Carvalho speaks at a podium with California Governor Gavin Newsom, Martha Hernandez of California Together, and Marshall Tuck of EdVoice in the background.Look at the debacle that is Medi-Cal, the state’s version of Medicaid, the public health plan for low-income people. Enrollment has ballooned toExpanding that formula to every other patient in the state would be a disaster. Supporters of single-payer insist “modest” tax hikes will cover the bill, such as personal income-tax surcharges of up to 2.5%. But California has been losing residents and business to lower-tax states like Texas, Nevada, and Florida for years. CalCare would prod more to leaveand would eventually deprive its cheerleaders of the productive people they’re counting on to fund their experiment in socialized medicine. Even if Sacramento could raise the revenue needed to fund CalCare without kneecapping the economy, a second problem looms: physician supply.Under single-payer, the state dictates reimbursement rates. If CalCare resembles Medi-Cal’s system, many doctors will face steep pay cuts. Some will respond by seeing fewer patients. Others will retire early. Still others will pack up and practice elsewhere. living in areas facing a shortage of primary, dental, or mental health care. It can’t afford to thin its physician workforce further. There’s also history to consider. Vermont tried to install single-payer a little over a decade ago. Its Democratic governor pulled the plug in 2014 after concluding that the required taxes were politically and economically untenable.28.6 weeksWhen government sets the budget, rationing is a feature, not a bug. Patients wait. And wait. And wait. Care delayed is money saved. Sacramento struggles to run Medi-Cal. How will it manage a $500 billion takeover of the entire health system? The progressives who support single-payer don’t have a good answer to that question — because there isn’t one. Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Kristi Noem grilled on 'sexual relations' with Corey Lewandowski — at House hearing her husband attendedKirsten FlemingLAUSD Superintendent Alberto Carvalho speaks at a podium with California Governor Gavin Newsom, Martha Hernandez of California Together, and Marshall Tuck of EdVoice in the background.The other loves of Carolyn Bessette Kennedy, including the Calvin Klein model who made JFK Jr. jealous — and allegedly impregnated her

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