State Based Efforts for Single Payer Reform: Lessons from New York
In 2017, Section 1332 of the Affordable Care Act goes into effect, allowing states the ability to seek "innovation waivers." Such a waiver frees the state from the requirement to establish a private insurance exchange. Instead, it can reallocate federal subsidies for private insurance and Medicaid into funding its own plan. This serves as an opening for single-payer health care experiments on the state level. While the populist message of a Medicare for All system continues to resonate across the country, prospects of winning this on the federal level with the current Congressional makeup are slim. State-level organizing initiatives have reoriented advocates of single-payer universal health care to build local power to win health care as a guaranteed right and public good available to all.
Learning Areas:Provision of health care to the public
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health
Discuss the recent efforts for single payer reform in New York. Assess how the New York experience may inform other state based and national efforts to pass universal single payer health reform.
Keyword(s): Health Care Reform, Policy/Policy Development
Qualified on the content I am responsible for because: The subject of this abstract has been my work for many years.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.