Health care quagmire screams for public financing of elections

Here's that Cliff's Notes version of an old joke: a U.S. Senator spends his whole life fighting for single-payer (Medicare for all) health care. He loses a lot of battles. Towards the end of his life, people ask the Senator, "will the U.S. ever have single payer health care?" The Senator says, "yes, but not in my lifetime."

The Senator dies, goes to heaven and gets a special audience with God. He only has one question, "God, will the U.S. ever have a single payer health care system?" God yes, "yes. But not in my lifetime."

I've been working for universal health care reform since 1993-94 when I fought for it at Public Citizen in Washington DC at the height of the Clinton reform effort. The past few years I do it by working to pass public financing of elections.

Don't get me wrong, I'm glad that the folks in Sacramento like Senator Sheila Kuehl (D-Santa Monica), Senator Don Perata (D-Oakland) and consumer groups are giving it another try. But despite Schwarznegger's stated intentions and leadership on the issue, and the crying public need, it still seems that there's very little that can be done as long as health care controls a huge percentage of the Gross Domestic Product and the interests that are benefiting from the current system disproportionately fund campaigns.

That's why I like AB 583 by Loni Hancock, a bill which creates a pilot project for public financing of elections for the Governor's race as well as one assembly and one senate seat. The bill has passed the Assembly and is in the Senate Elections Committee where it died last legislative term despite Senate Pro Tem leader Don Perata's promise that it wouldn't.

This year Senator Perata is a co-author of the reform legislation. If he wants to eventually get universal health care, I think it's essential that California start moving seriously in the direction of public financing of elections. AB 583 is a good way to start.