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Program assistant Mayra Dittman (L) helps Juanita Gilbert get up to walk at the Lifelong Medical Marin Adult Day Health Care Center. Centers like Lifelong could be forced to close if California Gov. Jerry Brown's proposed budget cuts were to be approved by the state legislature.
As California moves toward implementation of Obamacare in the state, Governor Jerry Brown and Democratic state lawmakers have hit a speed bump in how the state will pay for coverage of the poorest Californians.
Dems in the state house have proposed adding those who make up to $15,415 a year to the roles of Medi-Cal (the state’s version of Medicaid), but Brown has countered, concerned that the state can’t afford it in a time of deep budget cuts. Not only is funding a concern, but who administers the healthcare expansion--the state or counties. Democrats are in favor a state-wide approach, and the governor has yet to pick a side, but needless to say, the Affordable Care Act as a working system is still taking shape in the state.
Do you think it’s wise to add spending to cover the poor in a time when budgets are shrinking? Would you rather see Obamacare administered by the state or local government?
Holly Mitchell, Democratic California State Assemblymember; Member of the Assembly Health Committee; Mitchell represents California's 54th District, which stretches from South L.A. to UCLA; the Crenshaw district, Culver City, Ladera Heights, West Adams, Mid-City and Mar Vista.
Dylan Roby, Assistant Professor, Health Services, University of California, Los Angeles; Research Scientist, UCLA Center for Health Policy Research