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Is Perata Nixing Health Care Reform?

by: Lucas O'Connor

Fri Dec 14, 2007 at 06:46:50 AM PST


In light of the projected $14 billion budget shortfall, Senate leader Don Perata said late yesterday "'it would be imprudent and impolitic to support an expansion of health care' before addressing the state's budget deficit and its impact on existing programs."

Meanwhile, Fabian Núñez is "so confident that we will be successful in reaching agreement that I have called for the Assembly to meet on Monday, December 17 in order to take up and pass AB 1X."  So where are we actually heading on this?

Governor Schwarzenegger is calling for 10% spending cuts across the board in response to the budget shortfall that everyone knew was coming.  And as Dave points out, this means everyone who can't afford to live without government gets screwed while the rich continue on their merry way.  It also means that next year's budget fight will likely turn this year into the good ole days of budget wrangling.  And if Perata is serious about not passing anything as long as there's a shortfall, then we ain't passing anything for a while cause the shortfall isn't going anywhere.

But before we even get to that, we find out whether all the extended sessions, coalition-shredding wars over an acceptable level of health-care (I'm looking at you Shum/Maviglio), time, money and both literal and cyber ink may end up coming to nothing because Don Perata can't see spending on an important mandate when the political leadership in Sacramento can't figure out how to balance a budget.

This is ultimately going to encapsulate most of the Calitics greatest hits from the past year; starting with health care, this runs through privatization, water usage, high speed rail and transportation, prison reform, Núñez pecadillos, labor relations, term limits, clean money, taxes, and the 2/3 rule.  Because it all runs back to the ability of people to get elected and pass a budget.

Most of all, it's likely to reinforce the absurd lack of strong, public political leadership in this state.  There are no advocates.  Nobody has tried to convince me to sacrifice.  Nobody has tried to convince me of the inherent wisdom in a program that I might not otherwise think was a good idea.  The art of the possible is starting to discover that, as it turns out, not very much is possible with a $14 billion shortfall and no bold attempts at change.

Perata's statement closed by saying "The real issue now is the deficit and how this squares with everything else that we are going to do."  Everything is back up for debate.  Now that we're staring at the very real possibility of getting less than we started with, it might not be such a bad time for a return to the fundamental principles of budgeting and state spending.  I'm not sure it could end up much worse.

Lucas O'Connor :: Is Perata Nixing Health Care Reform?
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I kind of like the Perata approach here (8.00 / 2)
As long as we keep not fixing the root problem, everything else we do is going to be a stop-gap measure.  The sooner we address the root problem, the sooner we can find real solutions to our other problems.  Why keep enabling these half-assed solutions that just allow the giant to lurch along for a few more steps before eventually collapsing?

Very Truly Yours,
Will Bunnett


I agree (0.00 / 0)
In fact, I like it more the more I think about it.  But mostly I like the potential of the move.  If it becomes the impetus to dig into the systemic problems, that's fantastic.  If it ends up just being no health care plan and deep budget cuts next year, then it's pretty awful (though not necessarily more awful than a half-assed health care plan with no money).

"We need men who can dream of things that never were." -JFK

[ Parent ]
I have to agree with Perata (0.00 / 0)
but only if he's serious about real fixes.  To his credit Nunez raised the issue of revenue hikes in some specific ways.  But those were patches.  We're talking about fundamental reforms that are needed.

[ Parent ]
You put it very well here (8.00 / 1)
A complete lack of leadership in Sacramento on the budget. I can only do so much and while it appears folks like John Laird get it it's not clear what their proposed solutions are, what exact leadership they're going to provide.

It's worth noting that this 30-year budget crisis, begun on that Tuesday in June 1978 when Prop 13 passed, was the product of repeated failures of leadership. Prop 13 only passed because the previous year, 1977, Jerry Brown and the Democratic legislature failed to agree on a property tax relief program. Had they done so Jarvis' measure would likely have failed at the ballot box. Many of the spending rules that Perata sometimes claims about, such as Prop 98, were also the product of leadership failure - voters were sick of education cuts in the 1980s and passed Prop 98 to prevent them from happening again.

Obviously voters have their role to play here - voting for Prop 13, and then against things like the rollback of the 2/3 requirement in 2004, don't exactly help the situation. But voters and leadership exist synergistically - leadership can help produce the kind of ballot box outcomes we want.

Perata's been discussing fundamental budget reform all year long. Now would be a good time for him to step up and provide some leadership and clear ideas on what exactly he has in mind. Otherwise Arnold is going to use this crisis to shock doctrine us, pushing through a massive privatization of state government which will only make the situation much, much worse.

You can check out any time you like but you can never leave


I hope Perata steps up and leads (0.00 / 0)
Because this does not qualify as leadership.

"We need men who can dream of things that never were." -JFK

[ Parent ]
Hey come to the SF event on Monday (0.00 / 0)
and you can really look at me :).

But seriously folks, let me introduce you to my boss Zenei Cortez, a nurse for 30 years, and what she's about to say in a press release:

"What started out as a promising year for major reform of our broken healthcare system is sadly ending with a deeply flawed, patched together package that will leave the insurance companies in control of our health with millions of California families struggling to pay their medical bills," said Zenei Cortez, RN, member of the CNA/NNOC Council of Presidents.

She's far more articulate than I am.  Actually what I'm worried about right now is the SCHIP issue, which I understand could mean California kids will start getting chopped off the healthcare rolls as early as this month

I am a healthcare activist for the National Nurses Organizing Committee/California Nurses Association.  We are the nation's largest RN union, the nation's fastest-growing union, and leading advocates for single-payer healthcare.


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