California considering single payer at a cost of $400B

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
I pray they enact this legislation. And they will have to raise taxes far more than this article suggests. It will mean, however, even more businesses leaving California for elsewhere.

Can A New Tax Pay For Universal Health Care In California?

JACK CROWE

California may be able to pay for a proposed $400 billion universal health care system through an increased sales tax and a new tax on corporate revenue, according to a report released Wednesday.

The report, which was put together by economists at the University of Massachusetts-Amherst, projects the state will generate $106 billion in revenue annually through the tax hike. The report was paid for by the California Nurses Association, the same organization that is sponsoring the universal health care bill, known as the Healthy California Act.

California state senators face a Friday deadline to vote on the bill, which outlines how a universal health care system would operate but not how the state would pay for it. (RELATED: California Pushes Forward $400 Billion Universal Health Care Bill)

The economists who conducted the study suggest a 2.3 percent sales tax increase on top of California’s existing 6 percent rate. They also recommend a 2.3 percent gross receipts tax, which would apply to all corporate revenue.

Since the bill would eliminate out-of-pocket expenses, like deductibles and co-pays, the study says it would drive down overall health care costs for the poor and middle class while increasing costs for the wealthy through taxes. Poor Californians would get a tax credit to offset the increased sales tax.

This bill will be the model for the nation, “RoseAnn DeMoro, executive director of the California Nurses Association, told ABC News. She went on to describe the measure a “moral imperative.”

The report found that providing universal health care for all Californians would cost $406 billion — a conclusion in line with the Appropriations Committee’s analysis. However, the report assumes that existing state and federal funding will provide $225 billion, leaving the $106 billion gap that the economists suggest can be covered through the proposed sales and corporate tax.

Charles Bacchi, the president and CEO of the California Association of Health Plans, criticized the report’s cost projections calling them “overly optimistic.” The study’s findings “rest on the shaky assumption that California will continue to receive the same level of waivers from the federal government,” Bacchi told ABC News.

Bacchi’s skepticism seems warranted in light of the Trump administration’s recent budget proposal, which cuts Obamacare payouts by $1.25 trillion over the next ten years.

The study also assumes the state will be able to save $75 billion through greater efficiency and negotiating better drug prices. This idea has been met with skepticism who believe the projection is overly optimistic.

“The idea that you can reduce unnecessary and inefficient delivery of services in a system with unlimited free health care where doctors determine medical necessity is just nonsense,” Micah Weinberg, president of the economic institute at the employer-backed Bay Area Council, told the Sacramento Bee. “With everything going on in D.C., I understand the desire to meet crazy with crazy. But that’s just what we’re doing here.”
 

bornaneer

Senior
Jan 23, 2014
30,178
827
113
I say try it and see how it works out. As most of you know I'm considered a "rightist zealot" and as most of you know, I'm in favor of universal health care for all.
 

rog1187

All-Conference
May 29, 2001
69,748
4,985
113
I pray they enact this legislation. And they will have to raise taxes far more than this article suggests. It will mean, however, even more businesses leaving California for elsewhere.

Can A New Tax Pay For Universal Health Care In California?

JACK CROWE

California may be able to pay for a proposed $400 billion universal health care system through an increased sales tax and a new tax on corporate revenue, according to a report released Wednesday.

The report, which was put together by economists at the University of Massachusetts-Amherst, projects the state will generate $106 billion in revenue annually through the tax hike. The report was paid for by the California Nurses Association, the same organization that is sponsoring the universal health care bill, known as the Healthy California Act.

California state senators face a Friday deadline to vote on the bill, which outlines how a universal health care system would operate but not how the state would pay for it. (RELATED: California Pushes Forward $400 Billion Universal Health Care Bill)

The economists who conducted the study suggest a 2.3 percent sales tax increase on top of California’s existing 6 percent rate. They also recommend a 2.3 percent gross receipts tax, which would apply to all corporate revenue.

Since the bill would eliminate out-of-pocket expenses, like deductibles and co-pays, the study says it would drive down overall health care costs for the poor and middle class while increasing costs for the wealthy through taxes. Poor Californians would get a tax credit to offset the increased sales tax.

This bill will be the model for the nation, “RoseAnn DeMoro, executive director of the California Nurses Association, told ABC News. She went on to describe the measure a “moral imperative.”

The report found that providing universal health care for all Californians would cost $406 billion — a conclusion in line with the Appropriations Committee’s analysis. However, the report assumes that existing state and federal funding will provide $225 billion, leaving the $106 billion gap that the economists suggest can be covered through the proposed sales and corporate tax.

Charles Bacchi, the president and CEO of the California Association of Health Plans, criticized the report’s cost projections calling them “overly optimistic.” The study’s findings “rest on the shaky assumption that California will continue to receive the same level of waivers from the federal government,” Bacchi told ABC News.

Bacchi’s skepticism seems warranted in light of the Trump administration’s recent budget proposal, which cuts Obamacare payouts by $1.25 trillion over the next ten years.

The study also assumes the state will be able to save $75 billion through greater efficiency and negotiating better drug prices. This idea has been met with skepticism who believe the projection is overly optimistic.

“The idea that you can reduce unnecessary and inefficient delivery of services in a system with unlimited free health care where doctors determine medical necessity is just nonsense,” Micah Weinberg, president of the economic institute at the employer-backed Bay Area Council, told the Sacramento Bee. “With everything going on in D.C., I understand the desire to meet crazy with crazy. But that’s just what we’re doing here.”
I'm predicting many on here will flock to CA so they can be a part of that.
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
I say try it and see how it works out. As most of you know I'm considered a "rightist zealot" and as most of you know, I'm in favor of universal health care for all.

Vermont tried to do it but couldn't because of its massive costs. California is, of course, much bigger than Vermont. I hope they try it. We can all learn lessons from it. And in the meantime, lots and lots of jobs will move to other states. Win win.
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
I'm predicting many on here will flock to CA so they can be a part of that.

California has become an essentially bifurcated stated. The very rich and the poor. The middle class is disappearing. If they adopt this, it will increase that dynamic. Lots and lots of very poor people will move to California for the free health care (free for the people and very costly for those being taxed).

Vermont's story of abandoning single payer.

http://www.politico.com/story/2014/12/single-payer-vermont-113711
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
I agree with Trump that we should emulate Australias health care system.

No, he said Australia had a better health care system than we currently have under Obamacare. Who doesn't. When the deductibles are so high you can't afford to go to the doctor, we have a major problem.
 

DvlDog4WVU

All-Conference
Feb 2, 2008
46,692
1,761
113
Vermont tried to do it but couldn't because of its massive costs. California is, of course, much bigger than Vermont. I hope they try it. We can all learn lessons from it. And in the meantime, lots and lots of jobs will move to other states. Win win.
You'll start to see migration of companies out of California, at least those who aren't locked in with long term investments and geographical operating restrictions.