Could California's single-payer proposal reignite debate on health care reform?

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Could California's single-payer proposal reignite debate on health care reform?
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Earlier this month, a California assembly committee approved two measures to overhaul the state's health care system and provide coverage to all residents free of charge.

by the UC Berkeley Labor Center and UCLA Center for Health Policy Research found that 3.2 million Californians, 9.5% of the state's population, likely would remain uninsured in 2022.

"California has people whose heart beats strongly for single-payer, for a long time," McDonough told ABC News."This bill is its latest manifestation." A nine-member board would oversee the program and seek"necessary waivers, approvals, and agreements to allow various existing federal health care payments to be paid to CalCare, which would then assume responsibility for all benefits and services previously paid for with those funds," the bill's language said.

Kalra, during a recent hearing at the assembly's health committee, acknowledged that voters wouldn't be able to vote on ACA 11 until 2024, but he stressed that it wasn't too early to draft a blueprint. Kalra got pushback from Republican members who said a single-payer system would be too costly -- and too different, too hard to implement.Assemblyman Ash Kalra discusses his bill that would pay for the universal health care bill, during a news conference at the Capitol in Sacramento, Calif., Jan. 6, 2022.

Single-payer proponents remain adamant that it's necessary to start the debate sooner rather than later. The health committee passed the bills along party lines, an 11-to-3 vote, and the entire legislature has until the end of the month to pass the proposal.Stephen Shortell, a professor of health policy and management at the UC Berkeley School of Public Health, told ABC News that California's latest attempt at single-payer is noteworthy because it's generated national discussion.

Unlike Vermont, California has a more diverse population and mix of rural and city environments that could be a perfect test for the system to work, he said.

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