1776 Coalition :: The price tag on universal health care is in, and it’s bigger than California’s budget

The price tag on universal health care is in, and it’s bigger than California’s budget

May 23, 2017

The price tag is in: It would cost $400 billion to remake California’s health insurance marketplace and create a publicly funded universal heath care system, according to a state financial analysis released Monday.

California would have to find an additional $200 billion per year, including in new tax revenues, to create a so-called “single-payer” system, the analysis by the Senate Appropriations Committee found. The estimate assumes the state would retain the existing $200 billion in local, state and federal funding it currently receives to offset the total $400 billion price tag.

The cost analysis is seen as the biggest hurdle to creating a universal system, proposed by Sens. Ricardo Lara, D-Bell Gardens, and Toni Atkins, D-San Diego.

It remains a long-shot bid. Steep projected costs have derailed efforts over the past two decades to establish such a health care system in California. The cost is higher than the $180 billion in proposed general fund and special fund spending for the budget year beginning July 1.

73 Comments - what are your thoughts?

  • Ramon1710 . says:

    The geniuses of CA, led by Moonbeam Brown.
    Surely, Ovomitcare must be an economic and functional failure because government doesn’t have complete control of healthcare.
    Vlad Lenin would be proud of these “useful” idiots. If bankrupt CA thinks that the resulting death panels are worth the expense, they deserve them.
    These CA snowflakes don’t have a “right” to healthcare, merely because their presence is stinking up the planet. But they do have a right to bankruptcy and mediocre healthcare. They’ve certainly worked hard enough to deserve that.

  • the whistler says:

    Do it you stupid Porgs drive yourselves into a hell of your own making …just like the Borgs in Star trek you walk mindlessly straight toward your own downfall… Sieg Heil for the Collective !!!

  • keedon says:

    All you gullibles out there must ask yourselves one question. Where does the money for single payer or socialized medicine come from? For the answer you must go to Europe and the Scandinavian countries. 60% to 70% of everyone’s salary is taxed. Do you think the money materializes out of thin air?

    1. bobnstuff says:

      Here are the real numbers. Do you see 70% anywhere? You also get free college education, better schools, better roads and far better government services then we do. They also have a higher standard of living and are happier and healthier then we are.

      1. keedon says:

        First of all Wikipedia articles are written by the public. Anyone with an agenda can write anything. Besides the article was written in 2015.

          1. keedon says:

            Again they are from 2015 before the Refugees invaded and now more taxes must be paid from the taxpayer to support the drag on the country. Housing and feeding those millions which is paid directly by the taxpayer is expensive.

          2. bobnstuff says:

            The one sight was from 2016. They have shown they care about others instead of caring only for them selves. It’s funny that the richest nation on earth can’t afford to take care of their own people let alone help refugees. It says something about our country.

  • Ken says says:

    Moonbeam should be happy with that – it would be easy to fund – just double sales tax, real estate taxes and vehicle licensing – there may even be a surplus until the Medical and Pharmaceutical Industries double their prices.

    1. bobnstuff says:

      How much do you pay for your insurance right now? If everyone paid about half their present cost in a tax it would be funded.

      1. Ken says says:

        Bob – the Government can’t operate anything without screwing it up and quadrupling the cost. They still use the inflated “price list for services” (you know the $25. aspirin – $42. band aid- exposed by Time Magazine in 2012) OUR GOVERNMENT let the Medical, Pharmaceutical and Insurance Industries set the prices to guarantee maximum profits and leave us with an over paid bureaucracy in Washington, DC . If you like it you go for it – I’ll pass. You probably like the VA.

        1. bobnstuff says:

          So you claim the reason not to have the government take the place of the insurance companies is that government isn’t tough enough on the providers? I guess you don’t thing the executives in the insurance industry are being over paid at 100 times what those bureaucrats make. Right now one of the most successful things the government does is Medicare. Private insurance administrative costs have a 20% cap right now, until the ACA is gutted then it can go up again. Medicare spends 9% doing the same thing. Do you know why the government doesn’t try to lower the costs? There’s a law that keeps them from doing it. That was part of the Bush Medicare “fix”.

          As far as the VA it depends on were you are how good or bad it is. I know people who are happy with the VA and the service they get.

          You can keep over paying for you insurance and keep making the insurance companies richer if you want but don’t fool yourself into thinking you are getting a value for your money or that you have any control over your service.

          1. Ken says says:

            Bob – your reading and comprehension skills are in short supply – read the post again – it clearly says the Medical, Pharmaceutical, Insurance Industries and Government Bureaucracies are all in it to make big bucks and stuff their pockets. The Governments best efforts at Health Care are clearly displayed with the operation of the VA – a fncking medical disaster.

          2. bobnstuff says:

            Have you ever looked up the ratings from those using the VA? not the news stories about how bad they are but the satisfaction ratings. In fact they do about as well or better then hospitals in general. There are some problems in the system but nothing much different then in the industry overall. The governments biggest and best effort isn’t the VA that is in fact a very small part of the system but Medicare that covers more people then any other type of insurance. The only way the costs will ever be controlled is if the government steps in like in every other developed nation. The problem is enough money is being given to politicians that they don’t want things to get better. We have the best government money can buy.

          3. Ken says says:

            Bob – you sound like a Barry Bimbo – my experience with the governments management of the VA is first hand – I suggest that you volunteer to help some disabled Vets get to the appointments they’ve waited months for – help them get around the facility as they are shuffled from waiting area to waiting area – I’ve gone to Court to get patients out of the VA so they could get hospice care after the VA failed to treat cancer and they became terminal. If you like it you can have it – I’ll pass and choose life.

          4. bobnstuff says:

            I guess you haven’t gone to a regular hospital or tried to get a appointment with any kind of specialist. We made an appointment in January for May since it was the first one open and we have good insurance. Last ER visit took four hours just to spend five minutes with a doctor. I will also suggest you check the ratings of the VA system as a whole, they are running 85% to 90% satisfaction. I personally think the VA should give out Medicaid cares to all vets and the VA hospitals should only deal with service related issues but that’s to simple for our government.

          5. keedon says:

            Tell that to the families of the 2000 Vets who have died waiting for an appointment. The VA hospital in New Orleans hasn’t opened fully yet after Katrina. That from a brother who is a psychologist in a VA Hospital dealing with Viet Vets.

          6. bobnstuff says:

            You know if you have to even Vets can go to other doctors and in fact I believe they passed a law saying that. Here’s a piece from 2014 talking about it.

          7. Retired says:

            You also have to be so far away , which is in the fine print plus documentation .

          8. bobnstuff says:

            So I also guess if a Vet shows up at an emergence room he is turned away. Oh wait they might get a bill. You have to get your free stuff from the government even if you die.

          9. Retired says:

            More bull from the king ,change the subject . Regular treatment and Emergency room are two different subject..Nothing is free when you die except $250.00 your Wife would get from SS and a vet gets a free burial plot with marker . The rest the family has to pay . Get your facts straight .

          10. Ken says says:

            We agree on one thing – Our Government can’t deal with simple – the main problem is it tends to be cost effective. I’ve heard of all the BS and problems with the US Healthcare and for many years experienced it myself. For the last 8 years for my personal (the whole family) health care I go to Europe – have fantastic care and facilities – know up front the TOTAL cost and can negotiate in many cases – had spine and cancer surgery and annual check ups. The total cost including airfare is always less than the CO PAY and Insurance Premium in the USA To answer an earlier question I DO NOT waste my money on Health Insurance in the USA.

          11. Retired says:

            Put the blame where it belongs the VA is top heavy sitting behind closed doors instead of having people taking care and treating.

          12. Retired says:

            bobnbull lives in bubble that only serves left wing media source as well as web sites .

          13. keedon says:

            When the Federal Agency which handles Obamacare opened, the taxpayer was hit with a $750 billion bill. There was office space and equipment to obtain, there is salaries, healthcare and retirement to pay for with the federal union employees and there was that expensive and disastrous computer program set up to run the program. The AFFORDABLE CARE ACT was proposed by Obama to give free medical insurance to the 40 million low income Americans on welfare. None of those ever received a dime of that taxpayer coverage.

          14. bobnstuff says:

            Go check your facts because they are wrong.

          15. bobnstuff says:

            The Agency handling the ACA didn’t open, they both have been there. HHS. Health & Human Service and the IRS handle it. Also that $750 billion bill was to fix a hole in Medicare. I will agree that the computer program was bad but you can thank congress for that one. I don’t know why but our government is terrible with computers. Healthcare.gov wasn’t there only screw up. The Defense department can’t send medical files to the VA. That’s been one of the problems at the VA and the reason for much of the delay in services. They spend millions on trying to fix it but finally gave up from what I’ve heard.

      2. Retired says:

        Why not go to work and pay your way , typical Demon Rat answer let others pay your way .

        1. bobnstuff says:

          Why don’t you go to work and pay your way? Typical lazy Trumpet. I guess you have no problem sucking off the government tit.

          1. Retired says:

            I worked for the benefits that I have .You evidently did not like a good Demo Rat

          2. bobnstuff says:

            Your just taking government money. Same as I am. I not only worked for my money I created jobs so others could work. You are so quick to blame others for your own weakness.

          3. Retired says:

            What ever you say Mr. bobnBull, you are always right even when you do NOT know what you are talking about .Others have caught you with your BS .

          4. bobnstuff says:

            It matters what people know when dealing with you?

          5. Retired says:

            I don’t deal , straight shooter . That is why people like you do NOT understand nor like Trump . He can see through people like you as looking through a glass door.

          6. bobnstuff says:

            You knowledge of our President and just who he is always amazes me. Or should I say lack of knowledge.

          7. Retired says:

            The lack of knowledge is your department when it come to people like Trump . You swallow what the media presents .

      3. gvette says:

        Bob, what’s not mentioned in this article is, the 15% additional income tax they want to add. Then to what you said. Tell ya what Bob, you go pay for someone else crap.Redistribute YOUR money. You make a great Liberal Bob.

        1. bobnstuff says:

          Do you have insurance? If you do you are doing what’s call shared risk. That’s the whole idea of insurance. It’s not redistribution of wealth. In my case up till a year ago a 15% income tax would still have been cheaper then what I was paying. In reality a 9% increase would fund it very nicely as long as the tax employees the same amount they are paying now. I would rather have my money going to give healthcare to people then to buying another yacht for an insurance executive.

          1. gvette says:

            LOL..Bob, that is an additional 15%. The fucking state is broke.They have nearly a trillion dollar unfunded debt. I’m 66 now Bob. I now have medicare, or medicaid. I can’t keep them straight. Before that, when I need to go to the doctor, I paid out my pocket. It’s not the governments job, Bob.

          2. bobnstuff says:

            If I had to pay for my wife’s meds out of pocket I would have had to stop eating. Your were very lucky. Just the meds in our house run well over a $1500 per month right now and that down from two years ago. So far this year our house hold has had a two week stay in the hospital two ER trips plus at least 10 doctors appointments with all but three with specialists. This is a good year so far. The last three years I worked full time it was for the insurance. I guess I could just let my wife die, it would be cheaper, I think that’s what the new healthcare bill would want. Anyone who goes without insurance is taking a much bigger risk then they can possible understand.

          3. gvette says:

            Hopefully your wife will be ok. Now, prior to Obammaniggercare, do you know the rules in our country? I think not. No person will be refused mediacl care, regardless of insurance, or not. I just thought I’d share this with you. Once again. Government run healthcare is about control. In the ACA were a bunch of hidden taxes. That you don’t know about I’m sure.
            You never read it, nor did I, but there was a gal in NY state that read the whole bill, which by the way was more then anyone in congress did. Remember your pal Nancy P. You have to pass the bill to read it.

          4. bobnstuff says:

            Thank for the thought. You don’t have the before the ACA thing right though. They only have to stabilize you and then they can send you home. Once they do that you had better change your phone number because you will have collection agencies calling daily forever. Our youngest decided she didn’t need insurance and gave the hospital our number. The ER is the worst place for anything. It’s no substitute for healthcare. Don’t get me wrong, the ACA wasn’t a very good bill in some ways but it’s a whole lot better the what we are about to get if the house bill goes through the senate. You say government run healthcare is about control but without it there is no control of the providers or the insurance industry. We pay more then any other nation for healthcare by almost double but we are the 23rd healthiest country. Doesn’t having the country being ripped of bother you? it does me.

          5. gvette says:

            Ok bob, now I’ll give you one of the many stories I know for a fact. My friend has a sister that makes just enough money, so she’s not eligible for a subsidy for onigger care. She has a heart problem. So, she pays 600 a moth for insurance, that has a 7000 dollar delectable. So, she pays for your crappy insurance, and pays her way when she goes to the hospital.I know you’re in love with the government telling you what to do, but others of us like making our own decisions. Ever think about moving to Venezuela Bob.

          6. bobnstuff says:

            It sounds like she paid a lot but $7000 doesn’t go very far in the world of healthcare these days. Just showing up at the ER cost $1500 before they much, I past a kidney stone and the bill was over $2000 for 4 hours and two bags of saline. The MRI they gave her eat up almost half of the $7000. If she had to stay overnight for two days the rest of her $7000 is gone and now the insurance company is paying.

          7. gvette says:

            Please Bob. You’re not a stupid man. You pay the deductible before anything gets done.

          8. bobnstuff says:

            I don’t know, at the Hospital they send me a bill for the deductible. At the office I get to pay the co-pay at the time of the visit which is between $10 and $50 at a clip. The ER has to treat you, at least to stabilize you. In most of the insurance I have had you pay 20-80 until the deductible is paid. With all the different insurance companies I have had, not one made me pay the whole deducible up front. Over the years I have had eight different health insurance companies.

          9. gvette says:

            Things may not be the same all over the country. Did you stop and think about that? Then again, have you ever has Onigger care?

          10. bobnstuff says:

            It’s the same all over the country. It’s industry standard. Since you say you were self pay I know you have zero first hand knowledge. Since the ACA regulated all insurance anyone with insurance has had the ACA insurance. You don’t seem to have much understanding of the law or insurance. Under the ACA there was no government insurance, All the new insurance is through private companies who control most of it. Medicaid is all through the industry and all the Market Place did was sell insurance for private companies. It didn’t even link with Medicaid since it’s run by the states..

          11. Lkfeinb says:

            I am an insurance agent and you have excellent knowledge of the ACA.

          12. Lkfeinb says:


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      1. Ken says says:

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  • Richard Bagenstose says:

    tax the illegals more,

    1. keedon says:

      You can’t tax anyone who doesn’t have a Social Security number. A SS number is the only way our government knows who you are.

      1. Richard Bagenstose says:

        well if you don’t have a ss number then you don’t belong in our country , so why shouyld we be footing the bill for their trips to the emegancy rooms welfare and food stamps , if you don’t have a ss card then you should not recieve any tax payer money and thats where your argument falls short

  • bobnstuff says:

    How would you like to get insurance for your family for $240 per month. Real insurance. That’s what this comes out to for California under the is plan. It doesn’t sound like as much when you figure that California has a population of almost 40 million people.

    1. Bob S says:

      Sounds great to me because I pay a lot more but are they going to force people to buy it who don’t want it?

      1. bobnstuff says:

        Why would you not want health insurance? If you don’t want to get healthcare if you are hurt or get sick I guess it would be fair not to pay for insurance but in that case if you show up at a hospital they should be able to send you away unless you can pay cash up front. No free rides. If you don’t buy insurance you should also not be able to write off medical bills in bankruptcy. That’s fair don’t you think.

        1. keedon says:

          40 million Americans on welfare don’t have insurance coverage and that was what the ACA was supposed to pay for.

          1. bobnstuff says:

            Since the ACA only added 17 million to the rolls I would that most of that 40 million had insurance before the ACA

        2. Bob S says:

          Not necessarily that someone wouldn’t want insurance, just that they might want to spend their money on something else and take their chances that they won’t get hurt or sick. It is a free country. That said, the rest of us have no responsibility to be forced to take care of the risk takers.

          1. bobnstuff says:

            I’m glade you got my point.

          2. Bob S says:

            I’m glad you’re glade.

    2. keedon says:

      How naive. $240 plus more taxes on your salary. Socialized medicine in Europe and Scandinavian countries cost 60% to 70% tax on the salaries of the citizens. Before my wife and I retired we were paying so much a month for our health insurance. When Obamacare came in our insurance payments didn’t increase. Our deductible however doubled. So instead of our health insurance cutting in at $2500 it was now $5000. Our health insurance didn’t even pay anything anymore. We never reached our deductible.

      1. bobnstuff says:

        You need to do some checking on your numbers because they are far off.
        These are total tax numbers not just health insurance cost.
        Don’t judge the ACA as a single payer system, that never happened.

        1. keedon says:

          I worked 40 years paying SS, Medicare, 401K and paying for health insurance. My wife worked 47 years doing the same. My wife retired about a year ago as an Activities Director. Don’t tell us anything that you don’t know about. We paid each month what was negotiated by our employers and the health and dental insurers. When Obamacare came in it all changed radically. Thank God we are now collecting on our SS, Medicare and IRAs in retirement.

          1. bobnstuff says:

            My company insurance went down $45 per month with the ACA.

          2. keedon says:

            And so? Are you a union employee?

          3. bobnstuff says:

            Home Depot.

        2. keedon says:

          You need to do deeper research than fake news. Research what percent of salary are taxed in Norway and Sweden. The article above says single payer system. What is that but socialized medicine?

          1. bobnstuff says:

            Did you look at the tax rates? I gave you a link, there are other places to get the numbers but they all say the same thing.
            Norway max income tax is under 50% and Sweden pays average of 31% and maxes out at 60% total income tax. Both countries have lower corporative taxes then the US.

            Before I went on Medicare I was paying 23% of my income for medical.

          2. keedon says:

            Not according to the latest figures I saw posted by Blumberg News. Maxes out at 60%? Didn’t I say 60% to 70%? The Scandinavians are now paying more for their refugees coverage. Refugees who don’t work, pay taxes or contribute one bit to the economy.

          3. bobnstuff says:

            32% to a max of 60%. You should check the link.

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