Inching toward universal healthcare: New York City to guarantee healthcare to everyone, Washington State plans a public option

A demented old racist has taken our federal government and TV news bureaus hostage, so it’s easy to overlook the progressive policy announcements made over the last few days. But with new Democratic administrations taking office and others looking to make a splash, it’s been a good few days, especially for healthcare policy.

In New York on Tuesday, Mayor Bill de Blasio announced that the city would be moving toward guaranteed healthcare for undocumented immigrants and low-income residents. It’s not any kind of Medicaid expansion — states run that program — or new health plan, but instead, a guarantee of proactive care that won’t cost patients anything if they can’t afford to pay.

From the NY Times:

The city already has a kind of public option for health insurance for low-income New Yorkers, through an insurance plan run by city hospitals known as MetroPlus.

The new proposal would improve that coverage, which already insures some 516,000 people, and aim to reach more of those who are eligible, such as the young and uninsured, and others who qualify but have not applied.

It would also provide additional direct city spending, at least $100 million per year when fully implemented, officials said, for the city’s hospital system to support care for those without insurance. The city estimates the uninsured population to be about 600,000 people, including as many as 300,000 undocumented residents. A major component of that effort would be improving customer service, including the phone line, to help those with questions about their care.

The program will have a membership card that will allow patients to get care from a wide array of doctors. Right now, over half a million people use the city’s emergency rooms for their medical care, which is a very unhealthy and fiscally disastrous status quo. According to NBC New York, this new program will allow people to seek “primary and specialty care, from pediatrics to OBGYN, geriatric, mental health and other services.”

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