Health care is one of the hottest issues in California politics. Last year, state lawmakers shelved a controversial single-payer bill. So, what’s next? California State Assembly Member David Chiu sat down with Dr. Andrew Bindman at UCSF to discuss the complex realities of health care reform.
Chiu represents the 17th Assembly District, which covers eastern San Francisco. He’s also one of eight members of the Select Committee on Health Care Delivery Systems and Universal Coverage, formed in the wake of the failed single-payer bill. Chiu and his colleagues on the committee have proposed 16 bills aimed at increasing health care access for Californians. But, he says there is still a long way to go to achieve universal coverage.
Just over 93 percent of Californians currently have health insurance. Chiu says getting that number to 100 percent, would cost billions of dollars. Switching all Californians to a single-payer system, would cost an estimated $400 billion a year – $200 billion of that needed from new taxes. And, Chiu says the cost is just one major challenge. There are also legal hurdles, including the need for federal tax waivers, which he calls a non-starter under the current administration. But, that doesn’t mean single-payer is dead in California. Chiu talks about the impact the upcoming election could have, and who he thinks should really be leading the conversation.
Watch The Landscape for Health Care Reform in California
Healthcare has never been as important to peoples’ lives as it is today. Staggering advances in technology and science stand alongside major changes — and controversies — in policy and payment. In this new series, Dr. Robert Wachter, chair of UCSF’s Department of Medicine, bestselling author, and rated in 2015 by Modern Healthcare magazine as the most influential physician-executive in the U.S., interviews leading lights in medicine and healthcare.
In addition to finding out what’s happening now and where medicine is going, these individuals talk about the experiences that shaped their careers.
The first two programs are available now with more coming monthly to UCTV.
Dr. Kirsten Bibbins-Domingo
From self-described army brat to a renowned physician and scientist, Dr. Bibbins-Domingo is the immediate past-chair of the US Preventive Services Task Force. Find out how she balances the various demands on her time, including being a mom.
Dr. Lloyd “Holly” Smith
Dr. Smith came to San Francisco in 1964 and transformed UCSF into a world leader. His ability to steer that change is as much about management as medicine.
Not since 1965 has there been a more significant overhaul of the American healthcare system. With the Patient Protection and Affordable Care Act (sometimes known as Obamacare) comes a reshaping of the healthcare industry. As a result of these major changes, new opportunities emerge — opportunities to contribute in a meaningful field that is expanding quickly.
Watch You Don’t Have to Be a Doctor or Nurse to Have a Great Career in Healthcare to hear from industry experts and accomplished instructors who will help us understand the latest trends, identify the most promising fields, and pursue new career pathways.
Explore more programs on The Career Channel.