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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> <img width=623 height=151 style='width:6.4895in;height:1.5729in' id="Picture_x0020_1" src="cid:image001.jpg@01D2FAFB.641E2C40" alt="Description: Description: Description: Description: CAL/AAEM: California Chapter of the American Academy of Emergency Medicine"><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><div style='margin-left:15.0pt;margin-top:7.5pt;margin-right:15.0pt;margin-bottom:7.5pt' id=content><div style='border-top:solid #7F7F7F 1.0pt;border-left:none;border-bottom:solid #7F7F7F 1.0pt;border-right:none;padding:4.0pt 0in 4.0pt 0in'><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Arial",sans-serif;color:#767171;mso-style-textfill-fill-color:#767171;mso-style-textfill-fill-alpha:100.0%'>February 08, 2018</span></b><b><span style='font-size:11.0pt;font-family:"Arial",sans-serif;color:#7F7F7F'><o:p></o:p></span></b></p></div><div style='margin-top:11.25pt;margin-bottom:11.25pt'><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:#DF0009'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:red'>Healthcare groups renew push for single-payer system in California</span></b><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:#DF0009'><o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif;color:#0070C0'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif;color:#0070C0'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif;color:#0000CC'><a href="http://www.healthcarefinancenews.com/news/healthcare-groups-renew-push-single-payer-system-california"><span style='color:#0000CC'>Healthcare Finance</span></a></span><span class=MsoHyperlink><span style='color:#0000CC'><o:p></o:p></span></span></p><p class=MsoNormal style='margin-right:15.7pt'><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:15.7pt'><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>By Jeff Lagasse<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>Healthcare professionals, labor groups and small business owners have renewed the push for a single-payer healthcare system in California, delivering testimony in Sacramento Wednesday to the State Assembly's Select Committee on Health Care Delivery Systems and Universal Coverage.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>The focus of the testimony was SB 562, a single-payer bill that was approved last year but then shelved. The bill would establish a system by which the state would pay for all healthcare and essentially cut out insurance companies. Taxes would increase, but supporters maintained that would be offset by the elimination of insurance premiums, copays and other costs.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>There are some legal hurdles that would make switching to a single-payer system difficult, according to a report from local public news outlet KPCC. The rules that govern the Affordable Care Act, for example, are all federal, so any changes would require negotiation with the U.S. Department of Health and Human Services.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>California's Medicaid program, Medi-Cal, relies on both state and federal funding, and the feds have the final say. Plus, there's Medicare: It's a federal program, so California can't make changes to eligibility, financing or benefits without a thumbs-up from Washington. <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>There are also a couple of state laws that would make things thorny -- such as Prop 4, a 1979 law that limits how much tax money the state can keep. Above a certain threshold, funds have to be returned to taxpayers, and it would require an amendment to the law to make healthcare exempt.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>Supporters of the bill, including the California Physicians Alliance, say it would be worth the effort. One of those supporters, economist Robert Pollin of the University of Massachusetts Amherst, told the committee Wednesday that the state would have to raise about $100 million in additional funds to cover the cost of single-payer, but that most in the state would end up paying less for healthcare because insurance-related expenses would be eliminated.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>Other supporters include Health Access California, the California Immigrant Policy Center, Small Business Majority and the California Labor Federation.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>Opponents of the bill -- including the California Chamber of Commerce and the California Medical Association -- say there's no responsible way to pay for a single-payer system.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'>The committee is expected to produce a report by this spring with recommendations on how to proceed.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p></div><p class=MsoNormal style='margin-right:15.75pt'><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><strong><span style='font-family:"Arial",sans-serif'>Jeff Wells</span></strong><span style='font-family:"Arial",sans-serif'><br>Deputy Editor, CAL/AAEM News Service<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-bottom:12.0pt'><strong><span style='font-family:"Arial",sans-serif'>Brian Potts</span></strong><b><span style='font-family:"Arial",sans-serif'> MD, MBA</span></b><span style='font-family:"Arial",sans-serif'><br>Managing Editor, CAL/AAEM News Service</span><o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt;background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana",sans-serif'>Contact us at: <span style='color:#0000CC'><a href="mailto:calaaem.news.service1@gmail.com"><span style='color:#0000CC'>calaaem.news.service1@gmail.com</span></a></span><br><br>For more articles, visit our <span style='color:blue'><a href="http://www.calaaem.org/news_archives.php"><span style='color:blue'>archives</span></a></span>. <br><br></span><span style='font-size:9.0pt;font-family:"Arial",sans-serif'><a href="mailto:somcaaem@uci.edu"><span style='font-size:7.5pt;font-family:"Verdana",sans-serif;color:black;text-decoration:none'>To</span></a></span><span style='font-size:7.5pt;font-family:"Verdana",sans-serif;color:#0070C0'><a href="https://maillists.uci.edu/mailman/listinfo/calaaem"><span style='color:#0070C0;text-decoration:none'> </span><span style='color:blue'>unsubscribe</span></a></span><span style='font-size:7.5pt;font-family:"Verdana",sans-serif'> from this list, visit our mail server.<br><br>Copyright (C) 2015. The California Chapter of the American Academy of Emergency Medicine (CAL/AAEM).</span> <span style='font-size:7.5pt;font-family:"Verdana",sans-serif;color:#0000CC'><a href="http://www.calaaem.org"><span style='color:#0000CC'>http://www.calaaem.org</span></a></span><span style='font-size:7.5pt;font-family:"Verdana",sans-serif'>. All rights reserved.<br><br>CAL/AAEM, a nonprofit professional organization for emergency physicians, operates the CAL/AAEM News Service solely as an educational resource for physicians. Dissemination of an article by CAL/AAEM News Service does not imply endorsement, agreement, or recommendation by CAL/AAEM News Service, CAL/AAEM, or AAEM.<o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><b><span style='font-size:7.5pt;font-family:"Verdana",sans-serif'>Follow CAL/AAEM on Facebook and Twitter:<o:p></o:p></span></b></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><a href="http://www.facebook.com/pages/CalAAEM/172577489479442?sk=wall&filter=12" target="_blank"><span style='color:black;text-decoration:none'><img border=0 width=28 height=28 style='width:.2916in;height:.2916in' id="Picture_x0020_6" src="cid:image002.jpg@01D2FAFB.641E2C40"></span></a> <a href="https://twitter.com/#!/CALAAEM"><span style='color:windowtext;text-decoration:none'><img border=0 width=30 height=30 style='width:.3125in;height:.3125in' id="Picture_x0020_7" src="cid:image003.jpg@01D2FAFB.641E2C40"></span></a> <a href="http://escholarship.org/uc/uciem_westjem"><span style='color:windowtext;text-decoration:none'><img border=0 width=112 height=30 style='width:1.1666in;height:.3125in' id="Picture_x0020_4" src="cid:image004.jpg@01D2FAFB.641E2C40"></span></a><o:p></o:p></p><p class=MsoNormal style='background:#D9D9D9'><span style='color:black'><o:p> </o:p></span></p><div id=DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p><table class=MsoNormalTable border=1 cellpadding=0 style='border:none;border-top:solid #D3D4DE 1.0pt'><tr><td width=54 style='width:40.5pt;border:none;padding:9.75pt .75pt .75pt .75pt'><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><a href="https://www.avast.com/en-us/lp-safe-emailing-3176-a?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=emailclient&utm_term=oa-3176-a" target="_blank"></a><o:p></o:p></span></p></td></tr></table><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p></div></div></body></html>