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Transcript of Public Comments from July 8, 2020 Healthy CA for All Commission Meeting

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Transcript of Public Comments from July 8, 2020 Healthy CA for All Commission Meeting Transcript of Public Comments from July 8, 2020 Healthy CA for All Commission Meeting 1. The following table shows public comments that were made verbally during the virtual meeting: Count Name Verbal Public Comments 1 Francis Lee Thank you. Hi, my name is Francis Lee. I'm an at large delegate to the California Democratic National Convention for California. I just wanted to point out that the environmental analysis report published at the previous meeting seemed to rely on a lot of data coming studies analyzing costs in 2014. And there have been a number of more recent studies, for example, published in January of this year in the Annals of Internal Medicine, analyzing costs in 2017 showing $800 billion a year in administrative overhead for health care of which over $200 billion dollars a year attributed directly to private insurance billing overhead. So, it seems hard to believe that a mixed model of private and public options can be a solution to control our out of control spending costs. I think this is a strong argument in favor of single payer coverage. Thank you. 2 Hal No affiliation. I'm just a public citizen. But I've been interested in Goldfarb single payer for a number of years. And what I want to know is what is different about this moment in history that is different all the previous moments in history when we've been fighting for single payer in this country since at least the 70s. At least PNHP goes back that far. How are we going to get single payer when we have a political party supposed to be representing the people, supposedly the People's Party, that stands in the way of us getting single payer? Many of the democrats are on payroll with these companies, I mean, not payroll, but you know what I mean? So, I don't see how this is going to happen. Strategy has to include the politics of this. It can't just be a bunch of you sitting on a board and telling us all about the wonders of single payer and how much money it will save. We know that. I'm asking the question. It's not rhetorical. Thank you. 3 Perrie Hi, everyone, my name is Perrie Briskin, I'm an MBA MPH Briskin student at UC Berkeley and also a head steward with our Student Workers Union UAW 2865, representing 19,000 academic student employees across the state. And we are here, UAW 2865, to also put our support for single payer and also just to address a student population perspective. We had a lot of graduate students graduate without jobs that they were expecting and that's left a lot of people uninsured, unemployed and without out a lot of options. And thankfully, we have Covered California. But I think this calls for a decoupling of insurance employment. And then where do we go there to go single payer? So, the students are with you, we support it. And thank you for all being here today. 4 Jeanna Hi, I'm Jeanna Harris, I'm a nurse, state delegate to the party, Harris and an LA CDP member, so very involved in party politics. But I also represent a payer so I work with shared risk. I work with full Healthy California for All Page 1 Count Name Verbal Public Comments risk I'm most mostly representative of a full risk group. And let me tell you it is not working. The administrative costs are very costly. While it still pays me, I still advocate for a single payer system, because I know what I'm doing right now is not going to actually lead to a better health care system. So I'm just basically putting this out there that you're going to come to a gap where the data is not going to completely answer all your questions. And then you know, maybe if you want to talk to someone like me, who's advocating for completely opposite of what I represent, like, want to take a six figure salary out of my own pocket, if this passes, I would like to do that. Because I know that this is the road we need to go. So it's going to eventually be a leap of faith. And I'm telling you that we need to do it before the next pandemic happens. So that's all I wanted to say. Please reach out, I would love to give my comments. 5 Dr. Lynn Thank you. I'm Dr. Lynn Silver, I'm a pediatrician at the Public Silver Health Institute and I co-chaired the California Alliance for Prevention funding. So first, I salute the commission for its work. I hope that you come up with a brilliant proposal for a universal, progressively financed coverage of our entire population, and one that's less complex, harmful, dangerous and unfair. That said, I'm here to speak to a specific point which Dr. Angell started to address. Every article in the paper for the last four months has decried how for decades we have disinvested in our public health system and failed to prevent the risk factors and diseases that are now contributing to making COVID so devastating. We cannot pump that down the line for another 20 or 30 years as you seek to develop financing and coverage design for the 21st century, we need to include a component of community based prevention and addressing health equity, together with the funding streams to support individual coverage. Only in that way, can we truly promote health equity. Thank you. 6 Reggie Reggie Wong, I am a district delegate for CD33 for the DNC, as Wong well as a member of DSA LA. I've had friends who were fully employed, and yet their employment did not provide health insurance, one of them passed away cancer. So it kind of shows that you can't rely on employers to provide you health insurance. And in case you didn't notice we are in a pandemic, you want to stop the spread of this disease, you get make sure everybody is able to get treatment if they get sick or get that vaccine when it comes out, because the Coronavirus is not going to check your credit score before infects you. Thank you. 7 Peter Hospitals have become an increasingly popular outlet for private Shapiro investment and industry seek out markets that promise the greatest return. This is one reason why rural hospitals are closing and why health care inequities are as rampant as they are. Something like 70% of California's public funds appropriated for health care are channeled through private Healthy California for All Page 2 Count Name Verbal Public Comments entities. A direct public financing would free up dollars that would address the full range of social determinants of health care. I think that's the best way to approach a particular problem. Thanks 8 Robert Hi, thank you very much for the opportunity to speak. I'm Robert Vinetz Vinetz, a retired primary care pediatrician including three years with the Los Angeles County Department of Public Health. I'm now associated with California Physicians Alliance and its roadmap to universal care. I would like to call your attention to my written submission of a graphic checklist tool for evaluating various healthcare system proposals. The aim of the tool is to visualize at a glance, graphically, how well any proposal meets the goals of the commission and/or of an optimal health care system. I hope and believe that the graphic checklist can be a tool of value as the commission pursues its work. I urge and hope you will be able to examine the tool and please feel free to edit, adapt and use it in any way that you might find helpful. 9 Caroline I'm Carrie Sanders of the California Pan-Ethnic Health Network. Sanders I really appreciate the conversation today. I'm very excited to see equity being prioritized in the discussion and the talk about engaging diverse communities to get a better sense of their experiences in designing the system. One of the things, I listened in on one of the groups, really interesting conversations, I think, for us, we really feel strongly that equity must be a central component of all design and payment structures. We're happy to see it being discussed here today. And hope to see it in integrated into all the discussions that you have as you're walking through design of this single payer or a universal system. We also want to ensure that it's Patient Centered and funds prevention, public health and the social determinants of health as well as workforce diversity. Thank you. 10 Jeffery Jeffery Tardaguila, CARA, California Alliance of Retired Tardaguila Americans. Yes. pushing for single payer. Yes, I hope that you will explain the reason why the California is going the waiver of 1915-C to 1915-I, it has an impact next year, and I think this commission needs to understand what the state of California is wanting to do. At the same time, I will suggest that the federal model for community service, back to your community services, may be a means of dealing with a more equitable situation for the future. And that is my comment. 11 Shelby My name is Shelby Warren. I'm a second-year medical student Warren at UC San Diego part of the prime health equity program.
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