I want to know why I’m wrong- because this question has been eating at me for years- and I secretly blame the Democrats for all of the health insurance problems.
Why can’t California and New York bind together in an interstate compact, and create medicare for all of their citizens?
California and New York have GDP’s above most other countries in the world. In general, democrats hold majorities. Tell me why I shouldn’t blame the democrats for:
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Doing Obama care half assed, when something like 80% people wanted a public option.
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Not just doing it themselves. For instance even NYC by itself has a GDP above Denmark, and NYC is filled to the brim with the super rich.
California had a bill like that pass the legislature in 2022, and Governor Newsom
vetoedsomehow stopped it from making anything happen. I don’t remember the details but he basically didn’t want to upset the insurance industry, which I would have thought was the whole point of such a bill. He later backed some kind of watered-down bill which as far as I know did nothing.https://calmatters.org/commentary/2023/10/newsom-resurrect-single-payer-health-care/
solri
They can. The issue is people want everything to be federal and ignore their own state. Most Americans can’t even tell you what the first article of their own state’s constitution is about. Or their own state house rep.
I don’t know about New York, but California calculated that they can’t afford it on their own and need federal funding. Problem is, the politicians at federal level is beholden to for-profit medical sector.
I’m very interested in reading about this. But not much comes up when I search. What did California find out?
It has been years since I have read about it. I can’t find it now either. However, my search did mention that having single payer healthcare will cost California $500 billion annually, double the state’s entire annual budget as of 2024. https://www.wordandbrown.com/NewsPost/Single-Payer-2024
For now, California has been subsidising healthcare costs through existing programmes.
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It’s honestly insane how expensive all this shit is.
Because they don’t want to.
Full stop.
Why not half stop? Or double stop?
Correct answer.
Can you imagine the influx of people to those states?
The political will within those states isn’t there. The two states have very large socially liberal rich populations which are a large part of Democrat support in the states. A lot of poor districts in those states are Republican, which will fight a state based Medicaid for all program tooth and nail.
I imagine the answer is the same as to why we lack all of the other good things too: Rich people only care about themselves.
My state rep. Has been pushing for this in Minnesota for quite awhile. https://mnhealthplan.org/
Didn’t happen in the last session. Think it’s unlikely to happen soon with things getting tighter in multiple ways now.
A few reasons:
- States are not currency sovereigns in that they do not create and control their own currency. All the money the state uses come from revenues they collect in taxes, fees, sales, etc. This is not the case for a national government, which creates all the money it needs for whatever it wants to spend money on. This gives the national government a lot more spending power than any state could possibly have, regardless of the state’s GDP.
More importantly, though,
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All states except Vermont have statutory or (state) constitutional requirements to have a balanced budget every year. This means they cannot run a budget surplus or deficit. Any surplus has to be spent or returned to taxpayers and any deficit needs to be resolved that year. This makes it incredibly difficult to run large programs like a M4A over time. When the state runs into a budget shortfall, the M4A system would be the first on the chopping block.
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Insurance companies fight HARD against anything that hurts their business. This is specifically why Obamacare (the ACA) didn’t include a public option despite Obama campaigning hard for a public option in the 2008 election. Insurance companies got their stooges in the Democratic Party to kill the public option when the ACA debates were going through Congress. They do the same in states when states try to do something about the healthcare industry. And if insurance companies publicly talk about a proposed bill causing them to raise rates or pull out of a market, that’s a huge political stick to swing.
Lol, California unemployment is capped at 450/week. No chance we can afford universal medicare
You should look up what benefits were set at in the '70s. California has absolutely slashed the amount they are willing to spend on community welfare.
I was getting 450/week 10 years ago. It’s pretty crazy they haven’t raised it.
The federal government can print its own money and therefore can pay for its debt with modest and predictable increases in inflation. The states cannot.
Does this imply that a state funded health insurance for all will operate at a net loss?
The state isn’t a business. Services don’t lose money, they cost money.
Instead of paying your insurance and having them take a profit out of it before providing the service, you pay taxes and the money goes more directly into the service.
Yes, of course. Health care generates revenue for health care providers, not the state. For the state it’s just another expense on the balance sheet.
The problem with universal health care is that 70% of expenses go to treat 10% of the population. These are often very sick people near the ends of their lives. Frequently the money doesn’t appreciably improve their health or well-being, it merely provides many expensive (and often painful) treatments that extend their lives.
This is the really ugly side of health care that we don’t like to think about because it involves difficult discussions about quality of life and death. We would much rather not think about these things and instead throw more money at the problem. Unfortunately, medical technology has advanced a lot in these areas and so there is an ever-growing array of treatment options to extend life without restoring quality of life.
They’re called taxes, look it up
In the same way that the USPS operates at a loss
It uh… actually doesn’t.
NYC has a very viable option in MetroPlus, the city healthcare option for Medicade
They can. Cali at least has a partial plan.
Hell even a city could.
Hawaii already does.
I’m looking for a public-option health care in Hawaii. Haven’t found yet. Do you have a link? If I find I’ll post a link
Ok, I went to that page, and took the “are you eligible test” putting in a few different sets of numbers. This is definitely not a public option.
edit -> Thanks for the link!
It’s for low income. As I said in another comment in this thread, rich state but people don’t pay their fair share of taxes.
If you mean just rely on state-level taxation, it’d create a incentive to work in (low tax) states that didn’t provide state-subsidized health care, then retire in a state that does.
You want any kind of intergenerational wealth transfer to happen at the federal level, else you will tend to get those misincentives.
You need healthcare for all your life, not just when retiring. Why wouldn’t you want to live and work in the state with healthcare if it actually works out cheaper for you and less risky? It’s a completely false economy to live in the other state with no healthcare but have to pay high insurance rates and have high deductibles?
The elderly have much higher per-capita healthcare consumption than do people during other points in their life.
One element of the ACA was capping insurance premiums for seniors at an 3:1 ratio, where seniors couldn’t be charged more than 3 times the premiums of people at other ages in life.
Damn, they should do this to CEO:Employee compensation too
The elderly population has greater healthcare spending per cap than the 20-30 year old population. Getting old sucks.
Maybe that could be a plus. Make a large death tax. People die off in your state, and fund the next set of people coming and and more?
What do you consider Medi-Cal to be? 🤨
Medicaid, which services those with disabilities or who are below an income threshold. At least that’s what I get from the wikipedia page.
If there’s limited criteria for getting it, it’s not “medicare for all”, yeah?
If this thread has taught me anything it’s that reading comprehension and or critical thinking is at an all time low. It’s all contrarians posting how the op is wrong and that Medicare for all or a public option exists and then using examples of programs that are literally neither of those things. This is why these bills never go anywhere, people fundamentally don’t know what it is they want, what is proposed, and what they have and can’t even reason about it in a thread where the definitions are right in front of them.
I wonder how many make fun of those people who want to get rid of Obamacare because they have the ACA to take care of them.
