4 ms·

As a taxpayer I don't actually have a problem with this. However, as a California resident who has seen this state's inability to think through regulations eff

As a taxpayer I don't actually have a problem with this. However, as a California resident who has seen this state's inability to think through regulations effectively or solve housing problems, I'm incredibly skeptical of California's ability to implement single payer healthcare effectively. I would likely leave the state because I assume California would fail to deliver, and taxes would get raised for nothing.

ravenstine 5y ago
Exactly. Leave it to California to foul something up. No matter what one's stance is on health care, I don't get how Californians can have faith in their establishment. The things we have that are relatively turnkey ways of bringing in money like the ports, the farmland, Hollywood, and Silicon Valley serve to paint over the rot. If we had none of those things and we governed ourselves the way we have been for decades now, we'd be the Venezuela of the United States.
- rrrrrrrrrrrryan 5y ago
  > the ports, the farmland, Hollywood, and Silicon Valley serve to paint over the rot. In what universe are these things a coat of paint? In California's economy, these things are the whole damn tree: the roots, the trunk, the leaves, all of it. It might have a couple rotting branches, but it yields so much fruit that people just don't care.
  - ravenstine 5y ago
    They're gold mines. Even if you're a mismanaged mining company, you still have guaranteed access to gold. That is until you've mined all the gold, and then what? Oh, what's that? You spent all the money you made and your business is designed in a way that it only can survive when there's a gold surplus? Well, now. What California has is not the norm. Other states and countries might have one of those things; maybe they've got ports, or maybe they've got farmland in an optimal climate, or they've got something else. But until things change (which they will), no one has been able to have Hollywood or Silicon Valley as well as everything else. Once those things are sufficiently dissolved and others drink from our milkshake, it will suddenly be apparent how few of the people in California cared, to use your words; when the money dries up, it will be apparent how few things we actually have better than other parts of the country, as well as other countries. It's easy to ignore outdated and crumbling infrastructure, the crime and the homelessness, and budget being utterly wasted when the money keeps rolling in and the beach is no more than an hour away.
Justin_K 5y ago
Exactly - no doctor who has his crap together is going to accept the government's insurance. Medicare has the same problem. My mother many times can't find a decent doctor that accepts Medicare and when she does, they take so few appointments it takes weeks to get seen whenever an issue pops up.
- yongjik 5y ago
  > Exactly - no doctor who has his crap together is going to accept the government's insurance. Isn't the whole point of a single payer system putting and end to this madness? You no longer need to worry about a doctor accepting your insurance, because there's only one insurance, and everybody accepts it. (You can still buy additional insurances if you're worried about a medical disaster, but that's a separate concern.)
  - Justin_K 5y ago
    Do you think an entire industry is going to let a dysfunctional, bureaucratic government to dictate what their rates are? There will always be a market for better care to the highest bidder.
    - yongjik 5y ago
      Way to load your question, as if the entire US health insurance industry is not already dysfunctional and bureaucratic ... But to answer your question, sure, there will be always a market for the select few for whom money isn't a concern. The difference is that, under a single-payer system, you don't have to worry about it: just find a doctor at Yelp, or let the ambulance drive to the nearest hospital, and your doctor and your hospital is covered. You will intentionally have to go out of your way to find your boutique doctor who doesn't accept "dysfunctional government insurance." This is very important, because when your kid is bleeding inside an ambulance your concern shouldn't be "Wait but does this hospital accept my insurance?" You have a bigger problem to worry about.
230149dsad232jj 5y ago
To be fair, a lot of the housing issues in California stem from local ordinances and voter passed propositions rather than legislatively passed state laws.
mike00632 5y ago
Medical, the state's public option for lower income people is amazing, so I think your skepticism is misplaced
- bradlys 5y ago
  Is it? My partner was on it. Pretty shitty compared to the insurance she has now. Many providers just didn’t take med-i-cal and it was difficult to get a lot of things done.

ravenstine 5y ago

Exactly. Leave it to California to foul something up. No matter what one's stance is on health care, I don't get how Californians can have faith in their establishment. The things we have that are relatively turnkey ways of bringing in money like the ports, the farmland, Hollywood, and Silicon Valley serve to paint over the rot. If we had none of those things and we governed ourselves the way we have been for decades now, we'd be the Venezuela of the United States.

rrrrrrrrrrrryan 5y ago
> the ports, the farmland, Hollywood, and Silicon Valley serve to paint over the rot. In what universe are these things a coat of paint? In California's economy, these things are the whole damn tree: the roots, the trunk, the leaves, all of it. It might have a couple rotting branches, but it yields so much fruit that people just don't care.
- ravenstine 5y ago
  They're gold mines. Even if you're a mismanaged mining company, you still have guaranteed access to gold. That is until you've mined all the gold, and then what? Oh, what's that? You spent all the money you made and your business is designed in a way that it only can survive when there's a gold surplus? Well, now. What California has is not the norm. Other states and countries might have one of those things; maybe they've got ports, or maybe they've got farmland in an optimal climate, or they've got something else. But until things change (which they will), no one has been able to have Hollywood or Silicon Valley as well as everything else. Once those things are sufficiently dissolved and others drink from our milkshake, it will suddenly be apparent how few of the people in California cared, to use your words; when the money dries up, it will be apparent how few things we actually have better than other parts of the country, as well as other countries. It's easy to ignore outdated and crumbling infrastructure, the crime and the homelessness, and budget being utterly wasted when the money keeps rolling in and the beach is no more than an hour away.

Justin_K 5y ago

Exactly - no doctor who has his crap together is going to accept the government's insurance. Medicare has the same problem. My mother many times can't find a decent doctor that accepts Medicare and when she does, they take so few appointments it takes weeks to get seen whenever an issue pops up.

yongjik 5y ago
> Exactly - no doctor who has his crap together is going to accept the government's insurance. Isn't the whole point of a single payer system putting and end to this madness? You no longer need to worry about a doctor accepting your insurance, because there's only one insurance, and everybody accepts it. (You can still buy additional insurances if you're worried about a medical disaster, but that's a separate concern.)
- Justin_K 5y ago
  Do you think an entire industry is going to let a dysfunctional, bureaucratic government to dictate what their rates are? There will always be a market for better care to the highest bidder.
  - yongjik 5y ago
    Way to load your question, as if the entire US health insurance industry is not already dysfunctional and bureaucratic ... But to answer your question, sure, there will be always a market for the select few for whom money isn't a concern. The difference is that, under a single-payer system, you don't have to worry about it: just find a doctor at Yelp, or let the ambulance drive to the nearest hospital, and your doctor and your hospital is covered. You will intentionally have to go out of your way to find your boutique doctor who doesn't accept "dysfunctional government insurance." This is very important, because when your kid is bleeding inside an ambulance your concern shouldn't be "Wait but does this hospital accept my insurance?" You have a bigger problem to worry about.

230149dsad232jj 5y ago

To be fair, a lot of the housing issues in California stem from local ordinances and voter passed propositions rather than legislatively passed state laws.

mike00632 5y ago

Medical, the state's public option for lower income people is amazing, so I think your skepticism is misplaced

bradlys 5y ago
Is it? My partner was on it. Pretty shitty compared to the insurance she has now. Many providers just didn’t take med-i-cal and it was difficult to get a lot of things done.