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Indybay Feature

The Worker Health Care Ordinance

by Rita Mandelenis via Beyond Chron (reposted)
Money was the hot topic at the Budget and Finance Committee meeting yesterday. All were in agreement that every worker should have the right to adequate medical coverage, and supported Supervisor Tom Ammiano’s Worker Health Care Security Ordinance. Small business owners fear that the money they would have to spend on health care will destroy their businesses. Also, citizens worry that if employers do not fund this project, taxpayers will have to make up the difference.
Employers would be mandated to spend $75 per employee, not the previously stated $345 per employee. Supervisor Ammiano said that the $345 figure was never an option and was a case of severe “disinformation.” Supervisor Ammiano recognized the lack of details for the proposal.

“There will be more specific details to come,” said Supervisor Ammiano. “We want to see what would fly on both sides of the aisle.”

Craig Stoll stated the he was insulted that some are claiming employers don’t do their share to provide medical coverage. He and his wife own two restaurants, Delfina and Pizzeria Delfina, and they provide 73 jobs and medical insurance.

“We can’t work for free,” said Stoll. “We do our share.”

Dr. Mitch Katz, San Francisco’s Department of Public Health director, stated that the ordinance will focus on preventative care such as: pap smears, mammograms and MRIs. The goal is to keep those without medical insurance from going straight to the emergency room. San Francisco spends roughly $25 million yearly in medical costs for the uninsured.

“Those who lack insurance are less likely to receive preventative care,” said Dr. Katz. “Locally and nationally this is a drain on our public health system.”

There are roughly 300,000 emergency visits from 160,000 different patients per year, according to Dr. Katz. There is still much work to be done in naming each individual who is in need. An estimated 40 percent of those without insurance are already in the public health system; whether it is from Medicaid, Medi-Cal, Healthy Kids or Healthy Families. Since some of the uninsured are already identified, this should keep the overall cost down. It will cost between $7 to 8 million to expand the existing public health care system to uninsured workers.

More
http://www.beyondchron.org/news/index.php?itemid=2900#more
§Ammiano’s Health Care Proposal Won’t Be Slowed By Mayor
by Casey Mills via Beyond Chron (reposted)
In a well-worn move from the Newsom playbook, the Mayor issued a proposal for providing health care to uninsured San Franciscans yesterday on the eve of a hearing that could have moved Supervisor Tom Ammiano’s own plan to the full Board.

While Ammiano’s plan represented more than a year of negotiations between community groups and labor representatives, Newsom’s could end up being little more than an attempt to co-opt the issue while calming the Chamber of Commerce’s concerns about the proposal. Progressives, however, are already outlining what their bottom lines will be when negotiating the details of whatever compromise gets worked out. The most important one: that Newsom’s creation of a committee to do further research does not slow the legislation’s passage.

When Tom Ammiano unveiled a plan to provide health coverage to the city’s uninsured a couple weeks ago, it quickly became one of the cause celebres of San Francisco’s political forces. Progressives lined up in support, with the San Francisco People’s Organization listing it as one of its top three issues for the year. On the other side, the Small Business Commission, the Chamber of Commerce, and SFSOS quickly declared war on it, claiming it placed too much of the burden for insuring San Franciscans on businesses.

Amidst the firestorm, Ammiano declared he’d be willing to negotiate with downtown interests to ease their concerns about the proposal, which primarily involved its cost. Despite declaring early opposition to the legislation, Newsom eventually agreed to sit down at the table. Some insiders claim former Senator John Burton helped nudge the Mayor towards this decision.

Most agree that Newsom’s willingness to negotiate should be considered a good sign, and the Mayor should be lauded for his support of providing the uninsured with health care coverage.

However, the devil remains in the details, and some health care advocates remain uneasy that the negotiations could end up being at attempt to gut the proposal - or even worse, to delay it indefinitely.

More
http://www.beyondchron.org/news/index.php?itemid=2898#more
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