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Dr. Gerald Kominski, director of FSPH's UCLA Center for Health Policy Research, was interviewed September 15 by Capital and Main about efforts to repeal the ACA and said an "honest" discussion about details and goals of a single-payer system is needed.
Gerald Kominski, director of the University of California, Los Angeles Center for Health Policy Research, said even more than Sanders’ bill, Republicans’ efforts to repeal the ACA have given single payer a big push in California and nationally. “Support for single payer is a reaction to the very real threat that health care will be taken away from 20 million Americans,” Kominski said, adding that the Republicans’ repeal and replace plan “is really just repeal.”
Despite broad public support, advocates for single payer in California and nationally would be wise to craft their messaging to address how everyone could benefit and to bring Republicans on board, Kominski said. “There has to be an honest discussion about the details and the many ways of achieving the same goals,” he said.
“People are always wondering, ‘What’s in it for me?’” he said. “And those with employment-based health insurance, who are generally happy with it, worry about being worse off under single payer. Advocates need to address that perception and show the many advantages they would enjoy.”
“The momentum for single payer in California is there,” Kominski added, “but it’s going to be a real street fight to pass it.”