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"content": "\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week’s July Fourth recess, GOP aides confirm to NPR’s Susan Davis.\u003c/p>\n\u003cp>“We’re still working toward getting at least 50 people in a comfortable place,” Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>[contextly_sidebar id=”ZRTrHV0lrDJshV1rQ5I96AmHTDlvmW9R”]\u003c/p>\n\u003cp>“Several of them want more time,” McConnell added. “We have a number of different discussions going on, that have been going on for six weeks. They continue.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He made the announcement during Senate Republicans’ weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It’s expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, “I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.”\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can’t pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote “no” on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\n\u003cp>https://twitter.com/SenatorCollins/status/879472221202391040\u003c/p>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA’s expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. “I need to understand really what we’re talking about, with some of the conclusions that we saw yesterday with the CBO score,” she told MSNBC. “Taking the time to get it right is where we should be.”\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, “We know the fight is not over. That is for sure. We’re not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.”\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week’s recess.\u003c/p>\n\u003cp>[contextly_sidebar id=”VhSZnQ7oBkrgFZuGgGq7e9zxZLKy1E33″]\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP’s most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>“I would not bet against Mitch McConnell,” House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill’s fate — but before news broke of McConnell’s announcement that he was pushing the vote back. “He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don’t know what day —but I have every expectation the Senate will move this bill.”\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. “Every Republican senator campaigned on repealing and replacing this law,” he said.\u003c/p>\n\u003cp>[contextly_sidebar id=”hapQ6Vi3wewi0oe57liVFWkEYjgs7zWs”]\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents’ plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>“I’m a ‘no’ on it unless the bill changes,” Paul said to reporters on Monday. He has called the bill “Obamacare Lite” and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, “If you’re counting on the president to have your back, you need to watch it.” The president confirmed reports last week that he had privately criticized the House version of the health care bill as “mean,” even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week’s recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. “It is important that we have a scorekeeper,” he said. “We can always complain about the nature of the score. I think their coverage numbers — there’s more to the story than the number implies. Having said that, it’s important that we have a referee.”\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>NPR’s Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week’s July Fourth recess, GOP aides confirm to NPR’s Susan Davis.\u003c/p>\n\u003cp>“We’re still working toward getting at least 50 people in a comfortable place,” Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Several of them want more time,” McConnell added. “We have a number of different discussions going on, that have been going on for six weeks. They continue.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He made the announcement during Senate Republicans’ weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It’s expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, “I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.”\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can’t pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote “no” on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA’s expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. “I need to understand really what we’re talking about, with some of the conclusions that we saw yesterday with the CBO score,” she told MSNBC. “Taking the time to get it right is where we should be.”\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, “We know the fight is not over. That is for sure. We’re not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.”\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week’s recess.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP’s most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>“I would not bet against Mitch McConnell,” House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill’s fate — but before news broke of McConnell’s announcement that he was pushing the vote back. “He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don’t know what day —but I have every expectation the Senate will move this bill.”\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. “Every Republican senator campaigned on repealing and replacing this law,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents’ plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>“I’m a ‘no’ on it unless the bill changes,” Paul said to reporters on Monday. He has called the bill “Obamacare Lite” and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, “If you’re counting on the president to have your back, you need to watch it.” The president confirmed reports last week that he had privately criticized the House version of the health care bill as “mean,” even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week’s recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. “It is important that we have a scorekeeper,” he said. “We can always complain about the nature of the score. I think their coverage numbers — there’s more to the story than the number implies. Having said that, it’s important that we have a referee.”\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It’s the most indefensible bill I’ve actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=”ZGTbysN9iZUQZxJxb4OV10sNRNfoCRGg”]\u003c/p>\n\u003cp>The GOP bill would roll back much of former President Barack Obama’s 2010 health care law, ending a tax penalty for people who don’t buy insurance and allowing states to opt out of requirements that insurers cover certain services.\u003c/p>\n\u003cp>It would phase out extra federal money that California and 30 other states get to expand Medicaid and put annual caps on federal funding for the program.\u003c/p>\n\u003cp>Taxes on the wealthy and medical companies, which funded Obama’s law, would be eliminated.\u003c/p>\n\u003cp>Brown said the bill would eliminate funding for drug treatment, exacerbating homelessness and crime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This thing is bad for people,” Brown said. “Millions and millions of people are going to suffer. That’s a crazy thing for elected representatives to inflict on people.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It’s the most indefensible bill I’ve actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Democrats in California are trading fire over the end of an effort to pass single-payer health care in the Legislature this year.\u003c/p>\n\u003cp>The California Nurses Association lashed out at Assembly Speaker Anthony Rendon, who \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/\" target=\"_blank\" rel=\"noopener noreferrer\">announced on Friday\u003c/a> that the single-payer \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">legislation\u003c/a> would not advance in the Assembly in 2017. Rendon hit back on Monday, criticizing the legislation that passed the Senate earlier this month.\u003c/p>\n\u003cp>“Senate Bill 562 is not a serious discussion about single-payer,” Rendon said. “Senate Bill 562 is a statement of values.”\u003c/p>\n\u003cp>National Nurses United executive director RoseAnn DeMoro has unleashed a social media tirade against Rendon in the days since his decision to shelve the bill. DeMoro \u003ca href=\"https://twitter.com/RoseAnnDeMoro/status/878474634030571521\">called the speaker\u003c/a> “outrageous” and said Rendon would end up on the “wrong side of history.”\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses union\u003c/a> has planned a pair of rallies this week to push their effort forward, or at least to exact political punishment on the Assembly speaker.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/RoseAnnDeMoro/status/879468738000543744\u003c/p>\n\u003cp>Rendon maintained that he is in favor of single-payer health care, and that the effort can continue in the Legislature in the current session that runs through 2018. But he said that the process would have played out very differently if the bill had started in the Assembly.\u003c/p>\n\u003cp>“I’m sure that our committees would have asked the very basic questions that needed to be asked,” Rendon said. “Like how would this be paid for? How would this system operate?”\u003c/p>\n\u003cp>He also emphasized that Democratic energy should be focused squarely on defeating the Republican health plan in Congress.\u003c/p>\n\u003cp>[contextly_sidebar id=”sjyrNi6zBSKeXAy2qVVlGLiq0MiCq7Wt”]\u003c/p>\n\u003cp>The bill that \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">passed the Senate\u003c/a> came with an estimated price tag of $400 billion. Around $100 billion of that total would need to come from a new revenue source.\u003c/p>\n\u003cp>The debate over whether to pursue a government-run health care system in California through SB 562 has exposed divides among powerful factions of the Democratic Party.\u003c/p>\n\u003cp>Party chair Eric Bauman \u003ca href=\"https://www.cadem.org/news/press-releases/2017/statement-from-california-democratic-party-chair-eric-c-bauman-on-announcement-that-sb-562-will-be-held-in-rules-committee\">called\u003c/a> Rendon’s decision “an unambiguous disappointment.” That sentiment was echoed by progressives across the state and beyond.\u003c/p>\n\u003cp>https://twitter.com/BernieSanders/status/878659234916904960\u003c/p>\n\u003cp>But the powerful labor union SEIU California stood behind Rendon on Monday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is a lot of work to do on SB 562, and we remain eager to engage in that conversation,” said president Laphonza Butler in a \u003ca href=\"http://www.seiuca.org/2017/06/26/seiu-california-supports-decision-to-spend-more-time-developing-california-healthcare-reform/\">statement.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Democrats in California are trading fire over the end of an effort to pass single-payer health care in the Legislature this year.\u003c/p>\n\u003cp>The California Nurses Association lashed out at Assembly Speaker Anthony Rendon, who \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/\" target=\"_blank\" rel=\"noopener noreferrer\">announced on Friday\u003c/a> that the single-payer \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">legislation\u003c/a> would not advance in the Assembly in 2017. Rendon hit back on Monday, criticizing the legislation that passed the Senate earlier this month.\u003c/p>\n\u003cp>“Senate Bill 562 is not a serious discussion about single-payer,” Rendon said. “Senate Bill 562 is a statement of values.”\u003c/p>\n\u003cp>National Nurses United executive director RoseAnn DeMoro has unleashed a social media tirade against Rendon in the days since his decision to shelve the bill. DeMoro \u003ca href=\"https://twitter.com/RoseAnnDeMoro/status/878474634030571521\">called the speaker\u003c/a> “outrageous” and said Rendon would end up on the “wrong side of history.”\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses union\u003c/a> has planned a pair of rallies this week to push their effort forward, or at least to exact political punishment on the Assembly speaker.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Rendon maintained that he is in favor of single-payer health care, and that the effort can continue in the Legislature in the current session that runs through 2018. But he said that the process would have played out very differently if the bill had started in the Assembly.\u003c/p>\n\u003cp>“I’m sure that our committees would have asked the very basic questions that needed to be asked,” Rendon said. “Like how would this be paid for? How would this system operate?”\u003c/p>\n\u003cp>He also emphasized that Democratic energy should be focused squarely on defeating the Republican health plan in Congress.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The bill that \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">passed the Senate\u003c/a> came with an estimated price tag of $400 billion. Around $100 billion of that total would need to come from a new revenue source.\u003c/p>\n\u003cp>The debate over whether to pursue a government-run health care system in California through SB 562 has exposed divides among powerful factions of the Democratic Party.\u003c/p>\n\u003cp>Party chair Eric Bauman \u003ca href=\"https://www.cadem.org/news/press-releases/2017/statement-from-california-democratic-party-chair-eric-c-bauman-on-announcement-that-sb-562-will-be-held-in-rules-committee\">called\u003c/a> Rendon’s decision “an unambiguous disappointment.” That sentiment was echoed by progressives across the state and beyond.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>But the powerful labor union SEIU California stood behind Rendon on Monday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is a lot of work to do on SB 562, and we remain eager to engage in that conversation,” said president Laphonza Butler in a \u003ca href=\"http://www.seiuca.org/2017/06/26/seiu-california-supports-decision-to-spend-more-time-developing-california-healthcare-reform/\">statement.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n",
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"excerpt": "Congressional Budget Office report predicts 15 million more uninsured in U.S. next year, and 22 million in a decade. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Congressional forecasters say a Senate bill that aims to repeal and replace the Affordable Care Act would leave 22 million more people uninsured by 2026.\u003c/p>\n\u003cp>That’s only slightly fewer uninsured than a \u003ca href=\"http://www.npr.org/2017/05/24/529902300/cbo-republicans-ahca-would-leave-23-million-more-uninsured\">version passed by the House in May\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cbo.gov/publication/52849\" target=\"_blank\" rel=\"noopener noreferrer\">Monday’s report\u003c/a> from the nonpartisan Congressional Budget Office could give moderate senators concerned about health care coverage pause. Senate Republican Leader Mitch McConnell wants a vote on the bill this week, before senators head home for the Fourth of July recess. With Senate Democrats united in opposition, Republicans can afford to lose only two votes on their side and still pass the bill.\u003c/p>\n\u003cp>Republican Sen. Dean Heller of Nevada, who is up for re-election next year, has already expressed reservations about the number of people who could lose coverage under the GOP bill. Four other Republican senators have complained that the bill doesn’t go far enough in rolling back the Affordable Care Act, also known as Obamacare.\u003c/p>\n\u003cp>[contextly_sidebar id=”3VYukjwGuDWleAOvKiiHHmAd7ewuNtF3″]\u003c/p>\n\u003cp>The Senate bill would cut hundreds of billions of dollars in taxes over the coming decade, with most of the savings going to those at the top of the income ladder. At the same time, it would phase out the Affordable Care Act’s Medicaid expansion, while offering less generous subsidies to those who purchase health insurance on the individual market. That combination is expected to reduce the number of people with insurance coverage by 22 million by 2026: Fifteen million fewer on Medicaid and 7 million fewer in the individual market.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Over time, the bill would also make deep cuts to traditional Medicaid, the safety net program for the poor and people with disabilities. The program, which dates to the Great Society of the 1960s, covers nearly one in five Americans — more than Medicare, the better known program for the elderly.\u003c/p>\n\u003cp>For the first time, the Senate bill would cap federal spending on Medicaid in 2020, forcing state governments to either scale back the program or make up the difference out of their own budgets. The Senate bill also assumes that after 2025, medical bills will grow more slowly than they have historically. If that assumption is wrong, states would face an even bigger budget gap that would grow with each passing year.\u003c/p>\n\u003cp>Democratic Sen. Ron Wyden of Oregon worries the CBO report doesn’t fully reflect those long-term effects, since congressional forecasters typically focus on a 10-year budget window. Wyden, the ranking Democrat on the Senate Finance Committee, wrote a \u003ca href=\"https://www.finance.senate.gov/imo/media/doc/062217%20Keith%20Hall%20CBO%20Scoring%20of%20BRCA%20Letter.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> to CBO Director Keith Hall, asking him to assess how the Senate bill would affect Medicaid coverage 20 or 30 years into the future.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It is critical that Senators completely understand legislation and its impact prior to casting a vote,” Wyden wrote.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=GOP+Senate+Bill+Would+Cut+Health+Care+Coverage+By+22+Million&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Congressional forecasters say a Senate bill that aims to repeal and replace the Affordable Care Act would leave 22 million more people uninsured by 2026.\u003c/p>\n\u003cp>That’s only slightly fewer uninsured than a \u003ca href=\"http://www.npr.org/2017/05/24/529902300/cbo-republicans-ahca-would-leave-23-million-more-uninsured\">version passed by the House in May\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cbo.gov/publication/52849\" target=\"_blank\" rel=\"noopener noreferrer\">Monday’s report\u003c/a> from the nonpartisan Congressional Budget Office could give moderate senators concerned about health care coverage pause. Senate Republican Leader Mitch McConnell wants a vote on the bill this week, before senators head home for the Fourth of July recess. With Senate Democrats united in opposition, Republicans can afford to lose only two votes on their side and still pass the bill.\u003c/p>\n\u003cp>Republican Sen. Dean Heller of Nevada, who is up for re-election next year, has already expressed reservations about the number of people who could lose coverage under the GOP bill. Four other Republican senators have complained that the bill doesn’t go far enough in rolling back the Affordable Care Act, also known as Obamacare.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Senate bill would cut hundreds of billions of dollars in taxes over the coming decade, with most of the savings going to those at the top of the income ladder. At the same time, it would phase out the Affordable Care Act’s Medicaid expansion, while offering less generous subsidies to those who purchase health insurance on the individual market. That combination is expected to reduce the number of people with insurance coverage by 22 million by 2026: Fifteen million fewer on Medicaid and 7 million fewer in the individual market.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Over time, the bill would also make deep cuts to traditional Medicaid, the safety net program for the poor and people with disabilities. The program, which dates to the Great Society of the 1960s, covers nearly one in five Americans — more than Medicare, the better known program for the elderly.\u003c/p>\n\u003cp>For the first time, the Senate bill would cap federal spending on Medicaid in 2020, forcing state governments to either scale back the program or make up the difference out of their own budgets. The Senate bill also assumes that after 2025, medical bills will grow more slowly than they have historically. If that assumption is wrong, states would face an even bigger budget gap that would grow with each passing year.\u003c/p>\n\u003cp>Democratic Sen. Ron Wyden of Oregon worries the CBO report doesn’t fully reflect those long-term effects, since congressional forecasters typically focus on a 10-year budget window. Wyden, the ranking Democrat on the Senate Finance Committee, wrote a \u003ca href=\"https://www.finance.senate.gov/imo/media/doc/062217%20Keith%20Hall%20CBO%20Scoring%20of%20BRCA%20Letter.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> to CBO Director Keith Hall, asking him to assess how the Senate bill would affect Medicaid coverage 20 or 30 years into the future.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It is critical that Senators completely understand legislation and its impact prior to casting a vote,” Wyden wrote.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=GOP+Senate+Bill+Would+Cut+Health+Care+Coverage+By+22+Million&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer",
"title": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n",
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"excerpt": "Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.",
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"title": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco Doctors and Nurses Rally Against Senate Health Care Bill",
"title": "San Francisco Doctors and Nurses Rally Against Senate Health Care Bill",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Roughly 200 San Francisco doctors and nurses rallied Thursday outside San Francisco General Hospital to protest the \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">recently released Senate health care bill\u003c/a>.\u003c/p>\n\u003cp>Crafted in secret by Republican leadership, the bill repeals major parts of the sweeping healthcare law implemented by President Obama, known as the Affordable Care Act or Obamacare. The Republican replacement bill would phase out Medicaid expansion, cap spending on Medicaid and eliminate many taxes that fund Obamacare.\u003c/p>\n\u003cp>“This is about public health,” said Sasha Cuttler, a nurse at the hospital. “This isn’t a partisan issue. ... We have a duty to speak up against this.”\u003c/p>\n\u003cfigure id=\"attachment_346861\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346861\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">A health care professional holding up a sign at a protest at the San Francisco General Hospital against the newly proposed health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Matthew Hickey, resident physician and one of the organizers of the rally, said that it’s time for medical professionals to get more politically active.\u003c/p>\n\u003cp>“With the new health care bill being revealed, we felt it’s the right moment for us doctors to do more in the political sphere,” he said. Together with a group of resident doctors, Hickey created the group \"Keep America Covered\" that has organized other rallies since the elections.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>During the rally, doctors, nurses and patients spoke to the crowd and led them in chants like, “Healthcare yes, denials no, profiteers have got to go.\" Organizers encouraged attendees to tweet about their opposition of the bill, as well as to ask their friends and family in other states to call their senators.\u003c/p>\n\u003cfigure id=\"attachment_346862\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346862\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Health care professionals at the San Francisco General Hospital protested against the proposed new health care bill which is intended to replace the Affordable Care Act. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Congressional Budget Office has yet to release its report on the bill, but their report on the House’s version of the bill concluded it would leave 23 million Americans uninsured.\u003c/p>\n\u003cp>“This is not simply a despicable effort to deny essential healthcare services to 23 million Americans,” said UCSF professor Kevin Grumbach. “It is fundamentally an attack on the poor and the most vulnerable in our society and a massive transfer of wealth to the richest part of our society.”\u003c/p>\n\u003cp>One of the speakers at the rally was Troy Brunét, a patient living with HIV. He fears for fellow patients living with the decease.\u003c/p>\n\u003cp>“We are reverting back to the 1980s when the AIDS crisis hit us,\" he said. \"And to be honest, this freaks me out. From now on, things are going to change for the worse.”\u003c/p>\n\u003cfigure id=\"attachment_346860\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346860\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Troy Brunét, a patient living with HIV, addressing the crowd at the San Francisco General Hospital. Health care professionals and some patients protested against the new Senate health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brunét said he’ll continue to fight.\u003c/p>\n\u003cp>“I’m going call Scott Weiner and Senator Harris to tell them to continue the fight as well,\" he said. \"And I’m going to reach out to my family back in Louisiana to tell them to also call their representatives and voice their anger.”\u003c/p>\n\u003cp>Things changed pretty dramatically at San Francisco General with the passage of Obamacare in 2010. Before it passed, nearly 35 percent of the hospital’s patients were uninsured. After, that number dropped to 3 percent for inpatient care.\u003c/p>\n\u003cp>“It means that people are going to get sick and people are going to die,” Dr. Amy Whittle said. “As a pediatrician I’m worried about preventive care and not being able to provide all the care that we know saves us money down the line.”\u003c/p>\n\u003cp>Republican leaders hope to vote on the bill as soon as next week, despite some initial \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-health-care-bill-could-be-in-jeopardy-as-conservatives-announce-opposition/\" target=\"_blank\" rel=\"noopener noreferrer\">opposition from Conservative lawmakers\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_346863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-346863 size-large\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Matthew Hickey, resident physician at the San Francisco General Hospital poses for a photo with a sign in protest of the newly proposed senate health bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp>Earlier in the week, on Wednesday, the day before the Senate released their bill, another group of health care activists and senior citizens protested the proposed legislature, staging a \"die-in\" in front of the San Francisco Federal Building. The demonstration, organized by \u003ca href=\"https://t.co/Av5dcXIzXA\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Rising\u003c/a>, was briefly interrupted when a \u003ca href=\"http://hoodline.com/2017/06/motorcyclist-in-custody-after-allegedly-attempting-to-run-over-trumpcare-protestors\" target=\"_blank\" rel=\"noopener noreferrer\">motorcyclist rode during through the group\u003c/a>, narrowly missing some of the people lying in the middle of 7th Street. Police officers at the scene detained the man and he was taken into custody. No injuries were reported.\u003c/p>\n\u003cfigure id=\"attachment_346838\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-346838 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Healthcare activists hold signs as they stage a die-in while protesting the Trumpcare bill on June 21, 2017 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\n",
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"excerpt": "As details of the Senate bill came out, several demonstrations in the city showed that many in S.F. were not happy with the latest bill. ",
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"description": "As details of the Senate bill came out, several demonstrations in the city showed that many in S.F. were not happy with the latest bill. ",
"title": "San Francisco Doctors and Nurses Rally Against Senate Health Care Bill | KQED",
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"nprByline": "\u003cstrong>\u003ca href=\"https://ww2.kqed.org/news/author/shutson/\" target=\"_blank\">Sonja Hutson\u003c/a>\u003c/strong> and \u003cstrong>\u003ca href=\"https://twitter.com/sroosblad\" target=\"_blank\">Serginho Roosblad\u003c/a>\u003c/strong>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Roughly 200 San Francisco doctors and nurses rallied Thursday outside San Francisco General Hospital to protest the \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">recently released Senate health care bill\u003c/a>.\u003c/p>\n\u003cp>Crafted in secret by Republican leadership, the bill repeals major parts of the sweeping healthcare law implemented by President Obama, known as the Affordable Care Act or Obamacare. The Republican replacement bill would phase out Medicaid expansion, cap spending on Medicaid and eliminate many taxes that fund Obamacare.\u003c/p>\n\u003cp>“This is about public health,” said Sasha Cuttler, a nurse at the hospital. “This isn’t a partisan issue. ... We have a duty to speak up against this.”\u003c/p>\n\u003cfigure id=\"attachment_346861\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346861\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">A health care professional holding up a sign at a protest at the San Francisco General Hospital against the newly proposed health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Matthew Hickey, resident physician and one of the organizers of the rally, said that it’s time for medical professionals to get more politically active.\u003c/p>\n\u003cp>“With the new health care bill being revealed, we felt it’s the right moment for us doctors to do more in the political sphere,” he said. Together with a group of resident doctors, Hickey created the group \"Keep America Covered\" that has organized other rallies since the elections.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During the rally, doctors, nurses and patients spoke to the crowd and led them in chants like, “Healthcare yes, denials no, profiteers have got to go.\" Organizers encouraged attendees to tweet about their opposition of the bill, as well as to ask their friends and family in other states to call their senators.\u003c/p>\n\u003cfigure id=\"attachment_346862\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346862\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Health care professionals at the San Francisco General Hospital protested against the proposed new health care bill which is intended to replace the Affordable Care Act. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Congressional Budget Office has yet to release its report on the bill, but their report on the House’s version of the bill concluded it would leave 23 million Americans uninsured.\u003c/p>\n\u003cp>“This is not simply a despicable effort to deny essential healthcare services to 23 million Americans,” said UCSF professor Kevin Grumbach. “It is fundamentally an attack on the poor and the most vulnerable in our society and a massive transfer of wealth to the richest part of our society.”\u003c/p>\n\u003cp>One of the speakers at the rally was Troy Brunét, a patient living with HIV. He fears for fellow patients living with the decease.\u003c/p>\n\u003cp>“We are reverting back to the 1980s when the AIDS crisis hit us,\" he said. \"And to be honest, this freaks me out. From now on, things are going to change for the worse.”\u003c/p>\n\u003cfigure id=\"attachment_346860\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346860\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Troy Brunét, a patient living with HIV, addressing the crowd at the San Francisco General Hospital. Health care professionals and some patients protested against the new Senate health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brunét said he’ll continue to fight.\u003c/p>\n\u003cp>“I’m going call Scott Weiner and Senator Harris to tell them to continue the fight as well,\" he said. \"And I’m going to reach out to my family back in Louisiana to tell them to also call their representatives and voice their anger.”\u003c/p>\n\u003cp>Things changed pretty dramatically at San Francisco General with the passage of Obamacare in 2010. Before it passed, nearly 35 percent of the hospital’s patients were uninsured. After, that number dropped to 3 percent for inpatient care.\u003c/p>\n\u003cp>“It means that people are going to get sick and people are going to die,” Dr. Amy Whittle said. “As a pediatrician I’m worried about preventive care and not being able to provide all the care that we know saves us money down the line.”\u003c/p>\n\u003cp>Republican leaders hope to vote on the bill as soon as next week, despite some initial \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-health-care-bill-could-be-in-jeopardy-as-conservatives-announce-opposition/\" target=\"_blank\" rel=\"noopener noreferrer\">opposition from Conservative lawmakers\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_346863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-346863 size-large\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Matthew Hickey, resident physician at the San Francisco General Hospital poses for a photo with a sign in protest of the newly proposed senate health bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp>Earlier in the week, on Wednesday, the day before the Senate released their bill, another group of health care activists and senior citizens protested the proposed legislature, staging a \"die-in\" in front of the San Francisco Federal Building. The demonstration, organized by \u003ca href=\"https://t.co/Av5dcXIzXA\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Rising\u003c/a>, was briefly interrupted when a \u003ca href=\"http://hoodline.com/2017/06/motorcyclist-in-custody-after-allegedly-attempting-to-run-over-trumpcare-protestors\" target=\"_blank\" rel=\"noopener noreferrer\">motorcyclist rode during through the group\u003c/a>, narrowly missing some of the people lying in the middle of 7th Street. Police officers at the scene detained the man and he was taken into custody. No injuries were reported.\u003c/p>\n\u003cfigure id=\"attachment_346838\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-346838 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Healthcare activists hold signs as they stage a die-in while protesting the Trumpcare bill on June 21, 2017 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\n\u003c/div>\u003c/p>",
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"title": "Senate Health Care Bill Could Be In Jeopardy As Conservatives Announce Opposition",
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"content": "\u003cp>\u003cstrong>Updated at 4:15 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-unveil-health-care-overhaul-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Republicans’ health care bill\u003c/a> may already be on life support, with four key lawmakers announcing their opposition just hours after the GOP’s latest effort to repeal and replace the Affordable Care Act was released.\u003c/p>\n\u003cp>“Currently, for a variety of reasons, we are not ready to vote for this bill, but we are open to negotiation and obtaining more information before it is brought to the floor,” Sens. Rand Paul, R-Ky.; Ted Cruz, R-Texas; Mike Lee, R-Utah; and Ron Johnson, R-Wis., said in a statement Thursday afternoon.\u003c/p>\n\u003cp>[contextly_sidebar id=”Js5fAdImbZVCutUZd0YxgZDWm1KtJNvA”]With Republicans in the Senate holding only a 52-48 seat edge, they can afford only two defections to get to a 50-50 tie, allowing Vice President Pence to then presumably break any logjam. However, the four senators do appear open to negotiations and amendments that could turn their “no” to a “yes.”\u003c/p>\n\u003cp>“There are provisions in this draft that represent an improvement to our current healthcare system but it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their healthcare costs,” the quartet continued in their statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Tea Party-aligned group FreedomWorks also said in s statement that the bill doesn’t live up to promises by Senate Majority Leader Mitch McConnell, R-Ky., of a full repeal of the ACA.\u003c/p>\n\u003cp>“Unfortunately, the Senate bill is an amendment to Obamacare, not a repeal of it,” said FreedomWorks President Adam Brandon.\u003c/p>\n\u003cp>Termed the “Better Care Reconciliation Act,” the Senate’s answer to the House’s efforts to repeal and replace the ACA was finally released Thursday morning after weeks of secret negotiations.\u003c/p>\n\u003cp>As NPR’s Danielle Kurtzleben \u003ca href=\"http://www.npr.org/2017/06/22/533947844/senate-republicans-reveal-long-awaited-affordable-care-act-repeal-bill\">reports\u003c/a>, the BCRA is similar in many ways to the House’s health care alternative, the American Health Care Act, that passed last month. The bill “rolls back the ACA’s Medicaid expansion — making for deep spending cuts to that program, compared with current law. The Senate bill also proposes eliminating many ACA taxes, and the employer penalties associated with the employer and individual mandates would be repealed retroactively, dating to the start of 2016. And as in the House bill, young adults up to the age of 26 could stay on their parents’ health care plans.”\u003c/p>\n\u003cp>The bill in its current form may not just alienate conservative voters who think it doesn’t go far enough but also may not assuage moderates enough to get their votes, either.\u003c/p>\n\u003cp>Sen. Dean Heller, R-Nev., who faces a competitive re-election race in 2018, says he has “serious concerns about the bill’s impact on the Nevadans who depend on Medicaid.”\u003c/p>\n\u003cp>“As I have consistently stated, if the bill is good for Nevada, I’ll vote for it and if it’s not — I won’t,” Heller said.\u003c/p>\n\u003cp>Annie Clark, a spokeswoman for Sen. Susan Collins, R-Maine, said the centrist has some misgivings about the bills as well.\u003c/p>\n\u003cp>“Sen. Collins will carefully review the text of the Senate health care bill this week and into the weekend. She has a number of concerns and will be particularly interested in examining the forthcoming CBO analysis on the impact on insurance coverage, the effect on insurance premiums, and the changes in the Medicaid program,” Clark said. “She has met with and heard the concerns of many Mainers about their health care challenges, and she will continue to do so as she studies the impact of this legislation on Maine and the nation.\u003c/p>\n\u003cp>Predictably, Democrats were firm in their opposition to the GOP bill. Sen. Elizabeth Warren, D-Mass., didn’t mince words when she ripped into the bill on the Senate floor earlier Thursday.\u003c/p>\n\u003cp>“These cuts are blood money. People will die,” Warren said. “Let’s be very clear. Senate Republicans are paying for tax cuts for the wealthy with American lives.”\u003c/p>\n\u003cp>Senate Minority Leader Chuck Schumer, D-N.Y., said that the new Republican bill was “every bit as bad as the House bill” and “even worse” in some ways.\u003c/p>\n\u003cp>“This bill will result in higher costs, less care and millions of Americans will lose their health insurance, particularly through Medicaid,” Schumer said. “The way this bill cuts health care is heartless.”\u003c/p>\n\u003cp>Former President Barack Obama, whose signature legislation is the target of GOP repeal efforts, wrote in a lengthy \u003ca href=\"https://www.facebook.com/barackobama/posts/10154996557026749\">Facebook\u003c/a> post that the Republican plan “is not a health care bill.”\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>“It’s a massive transfer of wealth from middle-class and poor families to the richest people in America. It hands enormous tax cuts to the rich and to the drug and insurance industries, paid for by cutting health care for everybody else. Those with private insurance will experience higher premiums and higher deductibles, with lower tax credits to help working families cover the costs, even as their plans might no longer cover pregnancy, mental health care, or expensive prescriptions. Discrimination based on pre-existing conditions could become the norm again. Millions of families will lose coverage entirely.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://abcnews.go.com/Politics/republican-senators-ready-vote-health-care-bill/story?id=48205351\">ABC News\u003c/a> also reported that as the GOP bill was being released Thursday morning there was a “large protest gathered outside McConnell’s office, with people in wheelchairs staging a ‘die-in,’ and protesters chanting that no changes be made to Medicaid. Protesters were physically removed by Capitol Police officers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/MKhan47/status/877910250560643072\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2017 \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener noreferrer\">NPR\u003c/a>. \u003c/em>\u003c/div>\n\n",
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"excerpt": "Sens. Rand Paul, Ted Cruz, Ron Johnson and Mike Lee all say they oppose the bill in its current form, though they're open to negotiating. Republicans can afford to lose only two votes.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Updated at 4:15 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-unveil-health-care-overhaul-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Republicans’ health care bill\u003c/a> may already be on life support, with four key lawmakers announcing their opposition just hours after the GOP’s latest effort to repeal and replace the Affordable Care Act was released.\u003c/p>\n\u003cp>“Currently, for a variety of reasons, we are not ready to vote for this bill, but we are open to negotiation and obtaining more information before it is brought to the floor,” Sens. Rand Paul, R-Ky.; Ted Cruz, R-Texas; Mike Lee, R-Utah; and Ron Johnson, R-Wis., said in a statement Thursday afternoon.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>With Republicans in the Senate holding only a 52-48 seat edge, they can afford only two defections to get to a 50-50 tie, allowing Vice President Pence to then presumably break any logjam. However, the four senators do appear open to negotiations and amendments that could turn their “no” to a “yes.”\u003c/p>\n\u003cp>“There are provisions in this draft that represent an improvement to our current healthcare system but it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their healthcare costs,” the quartet continued in their statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Tea Party-aligned group FreedomWorks also said in s statement that the bill doesn’t live up to promises by Senate Majority Leader Mitch McConnell, R-Ky., of a full repeal of the ACA.\u003c/p>\n\u003cp>“Unfortunately, the Senate bill is an amendment to Obamacare, not a repeal of it,” said FreedomWorks President Adam Brandon.\u003c/p>\n\u003cp>Termed the “Better Care Reconciliation Act,” the Senate’s answer to the House’s efforts to repeal and replace the ACA was finally released Thursday morning after weeks of secret negotiations.\u003c/p>\n\u003cp>As NPR’s Danielle Kurtzleben \u003ca href=\"http://www.npr.org/2017/06/22/533947844/senate-republicans-reveal-long-awaited-affordable-care-act-repeal-bill\">reports\u003c/a>, the BCRA is similar in many ways to the House’s health care alternative, the American Health Care Act, that passed last month. The bill “rolls back the ACA’s Medicaid expansion — making for deep spending cuts to that program, compared with current law. The Senate bill also proposes eliminating many ACA taxes, and the employer penalties associated with the employer and individual mandates would be repealed retroactively, dating to the start of 2016. And as in the House bill, young adults up to the age of 26 could stay on their parents’ health care plans.”\u003c/p>\n\u003cp>The bill in its current form may not just alienate conservative voters who think it doesn’t go far enough but also may not assuage moderates enough to get their votes, either.\u003c/p>\n\u003cp>Sen. Dean Heller, R-Nev., who faces a competitive re-election race in 2018, says he has “serious concerns about the bill’s impact on the Nevadans who depend on Medicaid.”\u003c/p>\n\u003cp>“As I have consistently stated, if the bill is good for Nevada, I’ll vote for it and if it’s not — I won’t,” Heller said.\u003c/p>\n\u003cp>Annie Clark, a spokeswoman for Sen. Susan Collins, R-Maine, said the centrist has some misgivings about the bills as well.\u003c/p>\n\u003cp>“Sen. Collins will carefully review the text of the Senate health care bill this week and into the weekend. She has a number of concerns and will be particularly interested in examining the forthcoming CBO analysis on the impact on insurance coverage, the effect on insurance premiums, and the changes in the Medicaid program,” Clark said. “She has met with and heard the concerns of many Mainers about their health care challenges, and she will continue to do so as she studies the impact of this legislation on Maine and the nation.\u003c/p>\n\u003cp>Predictably, Democrats were firm in their opposition to the GOP bill. Sen. Elizabeth Warren, D-Mass., didn’t mince words when she ripped into the bill on the Senate floor earlier Thursday.\u003c/p>\n\u003cp>“These cuts are blood money. People will die,” Warren said. “Let’s be very clear. Senate Republicans are paying for tax cuts for the wealthy with American lives.”\u003c/p>\n\u003cp>Senate Minority Leader Chuck Schumer, D-N.Y., said that the new Republican bill was “every bit as bad as the House bill” and “even worse” in some ways.\u003c/p>\n\u003cp>“This bill will result in higher costs, less care and millions of Americans will lose their health insurance, particularly through Medicaid,” Schumer said. “The way this bill cuts health care is heartless.”\u003c/p>\n\u003cp>Former President Barack Obama, whose signature legislation is the target of GOP repeal efforts, wrote in a lengthy \u003ca href=\"https://www.facebook.com/barackobama/posts/10154996557026749\">Facebook\u003c/a> post that the Republican plan “is not a health care bill.”\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>“It’s a massive transfer of wealth from middle-class and poor families to the richest people in America. It hands enormous tax cuts to the rich and to the drug and insurance industries, paid for by cutting health care for everybody else. Those with private insurance will experience higher premiums and higher deductibles, with lower tax credits to help working families cover the costs, even as their plans might no longer cover pregnancy, mental health care, or expensive prescriptions. Discrimination based on pre-existing conditions could become the norm again. Millions of families will lose coverage entirely.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://abcnews.go.com/Politics/republican-senators-ready-vote-health-care-bill/story?id=48205351\">ABC News\u003c/a> also reported that as the GOP bill was being released Thursday morning there was a “large protest gathered outside McConnell’s office, with people in wheelchairs staging a ‘die-in,’ and protesters chanting that no changes be made to Medicaid. Protesters were physically removed by Capitol Police officers.”\u003c/p>\n\u003cp>\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cp>At last, Republican senators have \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">unveiled their crafted-in-secret health bill\u003c/a>, and everyone, including other Republican senators, are scrambling to understand the 142-page \"\u003ca href=\"https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Better Care Reconciliation Act of 2017\u003c/a>.\"\u003c/p>\n\u003cp>To know whether it's truly \"better care,\" and for which patients, if any, we still need the Congressional Budget Office to weigh in. But some California advocates say the “discussion draft” is clear enough to conclude that the bill would be “disproportionately devastating” for California’s health care system.\u003c/p>\n\u003cp>“If the House bill was mean, as the President termed it, the Senate bill was actually meaner and crueler,” said Anthony Wright, executive director of Health Access California. “It has harsher cuts, especially to the Medicaid program that covers 14 million Californians.\"\u003c/p>\n\u003cp>In the meantime, here are my five takeaways from the bill:\u003c/p>\n\u003cp>\u003cstrong>1. 'Repeal and Replace' Rhetoric Should Be … Repealed\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At this point, it’s inaccurate and misleading. The Republican bill doesn’t repeal all of President Obama's health care law known as the Affordable Care Act, or Obamacare. Nor does it replace it with anything. The bill maintains the basic mechanics of the ACA but rolls back the financial assistance and some of the consumer protections. In addition, a huge part of this bill has nothing to do with Obamacare: It proposes a radical dismemberment of Medicaid as we know it.\u003c/p>\n\u003cp>Let’s describe what the bill actually does: It’s an Obamacare \u003cem>rollback\u003c/em> and a Medicaid \u003cem>cutback\u003c/em>.\u003c/p>\n\u003cp>\u003cstrong>2. Much Less Aid for Medicaid\u003c/strong>\u003c/p>\n\u003cp>The Senate bill will phase out one of the ACA’s most visible accomplishments: the \u003cem>expansion\u003c/em> of Medicaid (Medi-Cal in California) to poor, uninsured adults. That means 3.7 million Californians who got Medi-Cal since 2014 will eventually lose it.\u003c/p>\n\u003cp>But there's more. The Senate plan will also cut funding for \u003cem>traditional\u003c/em> Medi-Cal, and the cuts will be deeper, over time, than even the House Republicans proposed.\u003c/p>\n\u003cp>In California, Medi-Cal covers one-third of all residents, half of all children, and two-thirds of seniors in nursing homes.\u003c/p>\n\u003cp>Who pays for their care if the feds pay less? The short answer is no one -- or state taxpayers.\u003c/p>\n\u003cp>\u003cstrong>3. What About Covered California? Could It help?\u003c/strong>\u003c/p>\n\u003cp>Not really. The Senate version tries to assuage pre-Medicare seniors (below age 65) who were alarmed that the House bill would have given them only a maximum tax credit of $4,000 to buy a plan, no matter the plan’s price. The Senate bill reverts to the ACA mechanism of offering tax credits based on income, not age. But, insurers can still charge older people five times what they charge younger people.\u003c/p>\n\u003cp>And tax credits would only be offered to people with incomes below 350 percent of the federal poverty level, down from the ACA’s 400 percent. Do you make $42,000-$48,000 a year? You would no longer qualify for any subsidies on Covered California.\u003c/p>\n\u003cp>That’s not all. Other complicated changes to the exchanges mean premiums and deductibles would go up, and special ACA grants that help reduce those deductibles disappear.\u003c/p>\n\u003cp>\u003cstrong>4. Winners? Or Just Losers: Pre-existing conditions vs. Planned Parenthood\u003c/strong>\u003c/p>\n\u003cp>The Senate bill appears to drop a wildly unpopular provision that is still in the House bill -- the possibility that your state might allow insurers to refuse to cover people with pre-existing conditions, or charge them much more. That seems like good news for cancer survivors and millions of others with chronic illnesses. They can't be denied coverage, or charged more up front.\u003c/p>\n\u003cp>But experts who have read the bill closely say there are loopholes that would allow individual states to loosen regulations on insurers -- enabling those insurers to carve away coverage that people with pre-existing conditions need. As Kaiser Health News \u003ca href=\"http://khn.org/news/promises-made-to-protect-preexisting-conditions-prove-hollow/\" target=\"_blank\">reports\u003c/a>: \u003c/p>\n\u003cblockquote>\u003cp>Somebody with cancer might be able to buy insurance but find it doesn’t cover expensive chemotherapy. A plan might pay for opioids to control pain but not recovery if a patient became addicted. People planning families might find it hard to get childbirth coverage.\u003c/p>\u003c/blockquote>\n\u003cp>The Senate bill also retains a proposal to eliminate all federal funding for Planned Parenthood, for one year. The feds never paid for abortions; this is money the organization uses for breast exams, contraception and testing for sexually transmitted diseases.\u003c/p>\n\u003cp>\u003cstrong>5. The Senate Bill Still Ignores Health Care’s Real Problem: Cost\u003c/strong>\u003c/p>\n\u003cp>The frustrations that many voters have with the Affordable Care Act are understandable. Very little in that law reduced health care spending, or got at the root causes of excessive charges -- though the ACA did slow down the growth rate compared to previous years.\u003c/p>\n\u003cp>It’s a valid criticism to point out that premiums continued to rise under the ACA, and quite sharply in some places. If you don’t qualify for any of the ACA assistance to shield you from those price increases, you -- or your employer -- are paying those increases out-of-pocket. It’s a difficult and chronic pre-existing condition of American health care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you are interested in learning more about \u003cem>how\u003c/em> the U.S. health care system became so expensive for patients, I recommend \u003ca href=\"http://www.npr.org/books/titles/523005656/an-american-sickness-how-healthcare-became-big-business-and-how-you-can-take-it-\" target=\"_blank\" rel=\"noopener noreferrer\">this book\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At last, Republican senators have \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">unveiled their crafted-in-secret health bill\u003c/a>, and everyone, including other Republican senators, are scrambling to understand the 142-page \"\u003ca href=\"https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Better Care Reconciliation Act of 2017\u003c/a>.\"\u003c/p>\n\u003cp>To know whether it's truly \"better care,\" and for which patients, if any, we still need the Congressional Budget Office to weigh in. But some California advocates say the “discussion draft” is clear enough to conclude that the bill would be “disproportionately devastating” for California’s health care system.\u003c/p>\n\u003cp>“If the House bill was mean, as the President termed it, the Senate bill was actually meaner and crueler,” said Anthony Wright, executive director of Health Access California. “It has harsher cuts, especially to the Medicaid program that covers 14 million Californians.\"\u003c/p>\n\u003cp>In the meantime, here are my five takeaways from the bill:\u003c/p>\n\u003cp>\u003cstrong>1. 'Repeal and Replace' Rhetoric Should Be … Repealed\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At this point, it’s inaccurate and misleading. The Republican bill doesn’t repeal all of President Obama's health care law known as the Affordable Care Act, or Obamacare. Nor does it replace it with anything. The bill maintains the basic mechanics of the ACA but rolls back the financial assistance and some of the consumer protections. In addition, a huge part of this bill has nothing to do with Obamacare: It proposes a radical dismemberment of Medicaid as we know it.\u003c/p>\n\u003cp>Let’s describe what the bill actually does: It’s an Obamacare \u003cem>rollback\u003c/em> and a Medicaid \u003cem>cutback\u003c/em>.\u003c/p>\n\u003cp>\u003cstrong>2. Much Less Aid for Medicaid\u003c/strong>\u003c/p>\n\u003cp>The Senate bill will phase out one of the ACA’s most visible accomplishments: the \u003cem>expansion\u003c/em> of Medicaid (Medi-Cal in California) to poor, uninsured adults. That means 3.7 million Californians who got Medi-Cal since 2014 will eventually lose it.\u003c/p>\n\u003cp>But there's more. The Senate plan will also cut funding for \u003cem>traditional\u003c/em> Medi-Cal, and the cuts will be deeper, over time, than even the House Republicans proposed.\u003c/p>\n\u003cp>In California, Medi-Cal covers one-third of all residents, half of all children, and two-thirds of seniors in nursing homes.\u003c/p>\n\u003cp>Who pays for their care if the feds pay less? The short answer is no one -- or state taxpayers.\u003c/p>\n\u003cp>\u003cstrong>3. What About Covered California? Could It help?\u003c/strong>\u003c/p>\n\u003cp>Not really. The Senate version tries to assuage pre-Medicare seniors (below age 65) who were alarmed that the House bill would have given them only a maximum tax credit of $4,000 to buy a plan, no matter the plan’s price. The Senate bill reverts to the ACA mechanism of offering tax credits based on income, not age. But, insurers can still charge older people five times what they charge younger people.\u003c/p>\n\u003cp>And tax credits would only be offered to people with incomes below 350 percent of the federal poverty level, down from the ACA’s 400 percent. Do you make $42,000-$48,000 a year? You would no longer qualify for any subsidies on Covered California.\u003c/p>\n\u003cp>That’s not all. Other complicated changes to the exchanges mean premiums and deductibles would go up, and special ACA grants that help reduce those deductibles disappear.\u003c/p>\n\u003cp>\u003cstrong>4. Winners? Or Just Losers: Pre-existing conditions vs. Planned Parenthood\u003c/strong>\u003c/p>\n\u003cp>The Senate bill appears to drop a wildly unpopular provision that is still in the House bill -- the possibility that your state might allow insurers to refuse to cover people with pre-existing conditions, or charge them much more. That seems like good news for cancer survivors and millions of others with chronic illnesses. They can't be denied coverage, or charged more up front.\u003c/p>\n\u003cp>But experts who have read the bill closely say there are loopholes that would allow individual states to loosen regulations on insurers -- enabling those insurers to carve away coverage that people with pre-existing conditions need. As Kaiser Health News \u003ca href=\"http://khn.org/news/promises-made-to-protect-preexisting-conditions-prove-hollow/\" target=\"_blank\">reports\u003c/a>: \u003c/p>\n\u003cblockquote>\u003cp>Somebody with cancer might be able to buy insurance but find it doesn’t cover expensive chemotherapy. A plan might pay for opioids to control pain but not recovery if a patient became addicted. People planning families might find it hard to get childbirth coverage.\u003c/p>\u003c/blockquote>\n\u003cp>The Senate bill also retains a proposal to eliminate all federal funding for Planned Parenthood, for one year. The feds never paid for abortions; this is money the organization uses for breast exams, contraception and testing for sexually transmitted diseases.\u003c/p>\n\u003cp>\u003cstrong>5. The Senate Bill Still Ignores Health Care’s Real Problem: Cost\u003c/strong>\u003c/p>\n\u003cp>The frustrations that many voters have with the Affordable Care Act are understandable. Very little in that law reduced health care spending, or got at the root causes of excessive charges -- though the ACA did slow down the growth rate compared to previous years.\u003c/p>\n\u003cp>It’s a valid criticism to point out that premiums continued to rise under the ACA, and quite sharply in some places. If you don’t qualify for any of the ACA assistance to shield you from those price increases, you -- or your employer -- are paying those increases out-of-pocket. It’s a difficult and chronic pre-existing condition of American health care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you are interested in learning more about \u003cem>how\u003c/em> the U.S. health care system became so expensive for patients, I recommend \u003ca href=\"http://www.npr.org/books/titles/523005656/an-american-sickness-how-healthcare-became-big-business-and-how-you-can-take-it-\" target=\"_blank\" rel=\"noopener noreferrer\">this book\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco city supervisors unanimously approved a measure Tuesday that bans the sale of flavored nicotine-laced liquid used in electronic cigarettes and flavored tobacco products — with city supervisors saying nicotine masked in cotton candy, banana cream, mint and other flavors entices kids into a lifetime of addiction.\u003c/p>\n\u003cp>Other cities have passed laws reducing access to flavored vaping liquids and flavored tobacco but San Francisco is the first in the country to approve a sales ban.\u003c/p>\n\u003cp>Sales of vaping liquids that taste like tobacco will still be allowed.\u003c/p>\n\u003cp>“We’re focusing on flavored products because they are widely considered to be a starter product for future smokers,” said Supervisor Malia Cohen, who sponsored the ordinance.\u003c/p>\n\u003cp>Chris Harihar, a spokesman for VMR Products, the largest independent vaporizer brand in the U.S, said he was not authorized to comment on Wednesday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The measure requires another vote by the board next week, which is expected to pass. After that it will move on to Mayor Ed Lee, who says he’ll sign it. The law would take effect in April 2018.\u003c/p>\n\u003caside class=\"pullquote alignright\">\n“This legislation is about saying enough is enough.”\u003cbr>\n\u003ccite>Malia Cohen, San Francisco Board of Supervisors\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Cohen, who represents the historically black Bayview-Hunters Point neighborhood, said tobacco companies advertise 10 times more in black neighborhoods and market candy and fruit flavored products to young people, the LGBTQ community and other minorities.\u003c/p>\n\u003cp>“For too many years, the tobacco industry has selectively targeted our young adults with products that are deceptively associated with fruits and mint and candy,” said Cohen, whose grandmother smoked menthol cigarettes for years and died of emphysema.\u003c/p>\n\u003cp>“Menthol cools the throat so you don’t feel the smoke and the irritants and it masks the flavors. This legislation is about saying enough is enough,” she added.\u003c/p>\n\u003cp>Businesses that violate the law could have their city tobacco sales permits suspended.\u003c/p>\n\u003cp>Small business owners have said they will lose business because people can still buy the flavored “e-liquid” and tobacco products in neighboring cities or online and have them delivered to their San Francisco homes.\u003c/p>\n\u003cp>“Those tobacco products aren’t 100 percent of our revenue, but they are an anchor product,” Miriam Zouzounis, a board member of the Arab American Grocers Association whose father owns a small corner store, told the San Francisco Chronicle.\u003c/p>\n\u003cp>She added: “Even at 15 percent of our stock, it’s what brings people through the door. We can’t compete with Safeway or Walgreens for food and milk items, let alone the online retailers filling the gap for everything else.”\u003c/p>\n\u003cp>The San Francisco ban is the latest restriction on tobacco products approved in California. The state’s cigarette tax increased in April by $2 per pack, more than doubling the previous tax of 87 cents a pack. This ban includes any product with flavoring: e-cigarettes, chewing tobacco and hookahs. Using or possessing the products, though, will still be legal. \u003c/p>\n\u003cp>Last year, Gov. Jerry Brown approved tougher tobacco regulations as part of a special legislative session on health care. The state’s legal age to buy tobacco was boosted from 18 to 21 and existing regulations governing tobacco were extended to electronic cigarettes.\u003c/p>\n\u003cp>“I think it’s a very important step that the city’s taking and I think that it will stimulate similar actions elsewhere in California and around the country,” said Doctor Stanton Glantz, UCSF, about the trend in tobacco product bans.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Federal law bans sales of flavored cigarettes. But it does not prohibit the sale of menthol cigarettes or flavored tobacco products other than cigarettes.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco city supervisors unanimously approved a measure Tuesday that bans the sale of flavored nicotine-laced liquid used in electronic cigarettes and flavored tobacco products — with city supervisors saying nicotine masked in cotton candy, banana cream, mint and other flavors entices kids into a lifetime of addiction.\u003c/p>\n\u003cp>Other cities have passed laws reducing access to flavored vaping liquids and flavored tobacco but San Francisco is the first in the country to approve a sales ban.\u003c/p>\n\u003cp>Sales of vaping liquids that taste like tobacco will still be allowed.\u003c/p>\n\u003cp>“We’re focusing on flavored products because they are widely considered to be a starter product for future smokers,” said Supervisor Malia Cohen, who sponsored the ordinance.\u003c/p>\n\u003cp>Chris Harihar, a spokesman for VMR Products, the largest independent vaporizer brand in the U.S, said he was not authorized to comment on Wednesday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The measure requires another vote by the board next week, which is expected to pass. After that it will move on to Mayor Ed Lee, who says he’ll sign it. The law would take effect in April 2018.\u003c/p>\n\u003caside class=\"pullquote alignright\">\n“This legislation is about saying enough is enough.”\u003cbr>\n\u003ccite>Malia Cohen, San Francisco Board of Supervisors\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Cohen, who represents the historically black Bayview-Hunters Point neighborhood, said tobacco companies advertise 10 times more in black neighborhoods and market candy and fruit flavored products to young people, the LGBTQ community and other minorities.\u003c/p>\n\u003cp>“For too many years, the tobacco industry has selectively targeted our young adults with products that are deceptively associated with fruits and mint and candy,” said Cohen, whose grandmother smoked menthol cigarettes for years and died of emphysema.\u003c/p>\n\u003cp>“Menthol cools the throat so you don’t feel the smoke and the irritants and it masks the flavors. This legislation is about saying enough is enough,” she added.\u003c/p>\n\u003cp>Businesses that violate the law could have their city tobacco sales permits suspended.\u003c/p>\n\u003cp>Small business owners have said they will lose business because people can still buy the flavored “e-liquid” and tobacco products in neighboring cities or online and have them delivered to their San Francisco homes.\u003c/p>\n\u003cp>“Those tobacco products aren’t 100 percent of our revenue, but they are an anchor product,” Miriam Zouzounis, a board member of the Arab American Grocers Association whose father owns a small corner store, told the San Francisco Chronicle.\u003c/p>\n\u003cp>She added: “Even at 15 percent of our stock, it’s what brings people through the door. We can’t compete with Safeway or Walgreens for food and milk items, let alone the online retailers filling the gap for everything else.”\u003c/p>\n\u003cp>The San Francisco ban is the latest restriction on tobacco products approved in California. The state’s cigarette tax increased in April by $2 per pack, more than doubling the previous tax of 87 cents a pack. This ban includes any product with flavoring: e-cigarettes, chewing tobacco and hookahs. Using or possessing the products, though, will still be legal. \u003c/p>\n\u003cp>Last year, Gov. Jerry Brown approved tougher tobacco regulations as part of a special legislative session on health care. The state’s legal age to buy tobacco was boosted from 18 to 21 and existing regulations governing tobacco were extended to electronic cigarettes.\u003c/p>\n\u003cp>“I think it’s a very important step that the city’s taking and I think that it will stimulate similar actions elsewhere in California and around the country,” said Doctor Stanton Glantz, UCSF, about the trend in tobacco product bans.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Federal law bans sales of flavored cigarettes. But it does not prohibit the sale of menthol cigarettes or flavored tobacco products other than cigarettes.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Single Payer Economics: One Health Plan, Two New Taxes, Three Ways to Save",
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"content": "\u003cp>A new outside analysis claims a \"single payer\" health system for California would cost $330 billion a year, not $400 billion, the \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/05/22/single-payers-price-tag-in-california-400-billion-a-year/\" target=\"_blank\" rel=\"noopener noreferrer\">initial price tag \u003c/a>announced last week in a legislative report.\u003c/p>\n\u003cp>The financial analysis also proposed two new taxes to pay for the system: an excise tax and a sales tax. That's in contrast to the 15 percent payroll tax proposed in last week's report.\u003c/p>\n\u003cp>The analysis was produced by a team of economists at the University of Massachusetts-Amherst, and paid for by the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">California Nurses Association\u003c/a>, a key leader in the movement to establish a universal health care system in California.\u003c/p>\n\u003cp>Supporters of a single-payer plan have promised these details for months, ever since two Democrats from southern California, state senators Ricardo Lara and Toni Atkins, introduced Senate Bill 562, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">\"The Healthy California Act.\" \u003c/a>The full Senate must vote on the bill by Friday for it to move forward in the legislative process.\u003c/p>\n\u003cp>Here's your takeaway:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>One Health Plan:\u003c/strong> Say goodbye to your employer-sponsored health plan, with its deductible, co-pays and co-insurance. Say goodbye to Medicare and its part B premium. Everyone would be moved into the still-unnamed, state-administered plan. The new plan would also completely absorb anyone now covered by Medi-Cal or Covered California. The seven percent of Californians who are still uninsured -- including undocumented residents -- would be brought into the fold as well.\u003c/p>\n\u003cp>The economists argue that a single payer plan, by eliminating private, for-profit insurers in California, and by pooling together public funds from Medicare and Medi-Cal, would create a stream-lined system with lots of bargaining power.\u003c/p>\n\u003cp>\"The good news is that California can get a lot more for our money,\" said State Senator Lara after unveiling the analysis on Wednesday at the state Capitol. \"When the legislature passes the Healthy California Act, we will actually spend less than we do now on health care.\"\u003c/p>\n\u003cp>\u003cstrong>Two New Taxes: \u003c/strong>The analysis assumes California would successfully obtain permission from the federal government -- not a given under a Trump administration -- to continue drawing down federal money for Medicare and Medi-Cal patients, but divert the funds into a single-payer system instead. That would take care of two-thirds of the annual cost.\u003c/p>\n\u003cp>Then, California could raise the remaining $106 billion by taxing consumers and business. Specifically, the analysis proposes:\u003c/p>\n\u003cul>\n\u003cli>A new 2.3 percent sales tax, except on basic living expenses such as housing, groceries, and utilities.\u003c/li>\n\u003cli>A new 2.3 percent excise tax on gross business receipts (the first $2 million in receipts are exempted).\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Three Ways to Save:\u003c/strong> A single-payer plan would actually cost 10 percent less than the current system, the analysis claims. How would this savings of $38 billion be achieved?\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Overhead:\u003c/strong> Having only one insurer, California, eliminates the need to make a profit or spend money on marketing and sales. The health care \"providers\" (doctors, nurses, hospitals, nursing homes, etc.), would also save money because they wouldn't have to pay people to administer different insurance contracts and navigate multiple payment systems.\u003c/li>\n\u003cli>\u003cstrong>Medical Salaries and Drug Prices:\u003c/strong> As the only entity paying for healthcare, California could negotiate lower reimbursement rates for some services. The state plan could also pressure drug companies to lower prices as a condition of having their drugs included in the state-run \u003ca href=\"https://www.healthcare.gov/glossary/formulary/\" target=\"_blank\" rel=\"noopener noreferrer\">formulary.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>More Efficient Treatment from Cradle to Grave:\u003c/strong> In a single, streamlined system, doctors won't have to duplicate tests. A unified system of electronic health records could also help identify risk factors for illness, or prompt patients to get necessary vaccines and screenings.\u003c/li>\n\u003c/ul>\n\u003cp>The new report was received skeptically by Charles Bacchi, who leads the industry trade group for private insurers, the \u003ca href=\"http://California%20Association%20of%20Health%20Plans\" target=\"_blank\" rel=\"noopener noreferrer\">California Association of Health Plans\u003c/a>. Bacchi predicted the plan would be \"incredibly disruptive\" and \"unaffordable,\" and implied that doctors might leave the state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They assume that every doctor is going to still be here in California providing coverage under this proposal,\" he said. \"And, you know, who knows? Something like this creates a lot of uncertainty.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new outside analysis claims a \"single payer\" health system for California would cost $330 billion a year, not $400 billion, the \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/05/22/single-payers-price-tag-in-california-400-billion-a-year/\" target=\"_blank\" rel=\"noopener noreferrer\">initial price tag \u003c/a>announced last week in a legislative report.\u003c/p>\n\u003cp>The financial analysis also proposed two new taxes to pay for the system: an excise tax and a sales tax. That's in contrast to the 15 percent payroll tax proposed in last week's report.\u003c/p>\n\u003cp>The analysis was produced by a team of economists at the University of Massachusetts-Amherst, and paid for by the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">California Nurses Association\u003c/a>, a key leader in the movement to establish a universal health care system in California.\u003c/p>\n\u003cp>Supporters of a single-payer plan have promised these details for months, ever since two Democrats from southern California, state senators Ricardo Lara and Toni Atkins, introduced Senate Bill 562, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">\"The Healthy California Act.\" \u003c/a>The full Senate must vote on the bill by Friday for it to move forward in the legislative process.\u003c/p>\n\u003cp>Here's your takeaway:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>One Health Plan:\u003c/strong> Say goodbye to your employer-sponsored health plan, with its deductible, co-pays and co-insurance. Say goodbye to Medicare and its part B premium. Everyone would be moved into the still-unnamed, state-administered plan. The new plan would also completely absorb anyone now covered by Medi-Cal or Covered California. The seven percent of Californians who are still uninsured -- including undocumented residents -- would be brought into the fold as well.\u003c/p>\n\u003cp>The economists argue that a single payer plan, by eliminating private, for-profit insurers in California, and by pooling together public funds from Medicare and Medi-Cal, would create a stream-lined system with lots of bargaining power.\u003c/p>\n\u003cp>\"The good news is that California can get a lot more for our money,\" said State Senator Lara after unveiling the analysis on Wednesday at the state Capitol. \"When the legislature passes the Healthy California Act, we will actually spend less than we do now on health care.\"\u003c/p>\n\u003cp>\u003cstrong>Two New Taxes: \u003c/strong>The analysis assumes California would successfully obtain permission from the federal government -- not a given under a Trump administration -- to continue drawing down federal money for Medicare and Medi-Cal patients, but divert the funds into a single-payer system instead. That would take care of two-thirds of the annual cost.\u003c/p>\n\u003cp>Then, California could raise the remaining $106 billion by taxing consumers and business. Specifically, the analysis proposes:\u003c/p>\n\u003cul>\n\u003cli>A new 2.3 percent sales tax, except on basic living expenses such as housing, groceries, and utilities.\u003c/li>\n\u003cli>A new 2.3 percent excise tax on gross business receipts (the first $2 million in receipts are exempted).\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Three Ways to Save:\u003c/strong> A single-payer plan would actually cost 10 percent less than the current system, the analysis claims. How would this savings of $38 billion be achieved?\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Overhead:\u003c/strong> Having only one insurer, California, eliminates the need to make a profit or spend money on marketing and sales. The health care \"providers\" (doctors, nurses, hospitals, nursing homes, etc.), would also save money because they wouldn't have to pay people to administer different insurance contracts and navigate multiple payment systems.\u003c/li>\n\u003cli>\u003cstrong>Medical Salaries and Drug Prices:\u003c/strong> As the only entity paying for healthcare, California could negotiate lower reimbursement rates for some services. The state plan could also pressure drug companies to lower prices as a condition of having their drugs included in the state-run \u003ca href=\"https://www.healthcare.gov/glossary/formulary/\" target=\"_blank\" rel=\"noopener noreferrer\">formulary.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>More Efficient Treatment from Cradle to Grave:\u003c/strong> In a single, streamlined system, doctors won't have to duplicate tests. A unified system of electronic health records could also help identify risk factors for illness, or prompt patients to get necessary vaccines and screenings.\u003c/li>\n\u003c/ul>\n\u003cp>The new report was received skeptically by Charles Bacchi, who leads the industry trade group for private insurers, the \u003ca href=\"http://California%20Association%20of%20Health%20Plans\" target=\"_blank\" rel=\"noopener noreferrer\">California Association of Health Plans\u003c/a>. Bacchi predicted the plan would be \"incredibly disruptive\" and \"unaffordable,\" and implied that doctors might leave the state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They assume that every doctor is going to still be here in California providing coverage under this proposal,\" he said. \"And, you know, who knows? Something like this creates a lot of uncertainty.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"masters-of-scale": {
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"on-the-media": {
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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},
"radiolab": {
"id": "radiolab",
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