California muscles its way through the health reform
Dir Arnold Schwarzenegger Strode salute on the podium, a huge crowd had come earlier in a recent summer Saturday to spend a whole day to discuss all things, health policy.
“I prefer that they do go with a red carpet, the film, another first, because that is important,” Schwarzenegger said 600 people gathered in a conference room, besides the famous Grauman’s Chinese Theatre.
The Republican governor and former Box-Office Dynamo east of power with its star under divisions complex and apparently insoluble problems of all Californians health insurance.
Q & A: Dir Schwarzenegger is of the opinion, real reform is possible
He spent years promoting his plan to extend the mandate that everyone have insurance and require insurers to offer him to implement them. Reaction was mixed with a vote on a broad overview of its principles is now democratically controlled the Assembly in order to measure the Republican reaction, and is not expected that move. Two measures taken by Democrats are also under discussion.
During recent years in Massachusetts became the first state to require all buy health insurance proposals in California could even launch a brave attempt, because the Golden State’s problems are so much greater.
“Only a major challenge in California,” said Marian Mulkey, an officer program director of the California HealthCare Foundation, a non-profit think-tank. “This is not to say that it is insurmountable. ”
In California, for example, an estimated 4.9 million people lack health insurance. The comparison with an estimate of 500000 in Massachusetts, before the program began. That is why politicians from other countries - in collaboration with political experts and legislators in Congress - are currently on efforts in close collaboration CA, with its potential for a national model.
“Any progress in California, a significant dent in this problem, which is not assured at the national level,” said Larry Levitt, an analyst of public health policy for the Kaiser Family Foundation, a non-profit research group, which is based in Menlo Park, CA “Action in California would be a real momentum, both in the presidential debates and in other countries.”
Still, Schwarzenegger has talked about plans for health reform stalled in Sacramento, the capital of the country, first by a lengthy budget debate, then the difference between Democrats and the majority of the Republican governor on two key issues. Time is short: the legislature had only until their September meeting ends at 14, all legislation adopted.
The reform of health systems in California, met a roadblock a few surprises. The challenge is great and solutions are controversial, splitting lawmakers. With an overwhelming majority of Republicans do not support the health of two measures of democratic reform in California in the game, neither the Governor to sponsor the project. During its proposal on the part of governors, ideas, Democrats, with Schwarzenegger on two major things: they do not want to ask individuals to buy insurance, and they want employers do not provide ‘ Insurance to pay more than the governor impactor.
Even supporters of reform does not agree, what should look like this: Some want a universal program and monitors fully paid by the government. Some suggest all human beings should be required to buy coverage, while others say that such a mandate is draconian, if Premium costs are so high.
In Massachusetts, has years of planning in health reform efforts before the legislature - in agreement with an overwhelming majority - passed its action.
“If you want a refinancing a sixth of the economy as a whole, better than you do not, to 50 to 49-vote,” said Jon King Dale, director of the National Agency for monitoring the deployment of the program in Massachusetts. “Operative something that is half the challenge.”
Few expect to find in California, the same consensus.
“The political spectrum in Massachusetts is not as broad as it is in California,” said Mulkey.
However, the governor has not dissuaded. It is set part of his political legacy on achieving health reform.
“At the end, we sit down and negotiate,” said Schwarzenegger in his Capitol office a few days after the conference in Hollywood. “If everyone has the will… within two weeks, we can hammer it out.”
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