When California committed to “Medi-Cal for All Children” a decade ago, it made a powerful promise to families from all backgrounds: No child will go without health care. It was a defining moment and a strong example of California taking the lead on kids’ health and setting an example for the country.
Today, that promise is in danger of being broken.
Every Californian should have access to quality health care, no matter where they live. But today, that promise is slipping out of reach in rural communities. Without decisive action to support the academic medical centers that offer care and train the next generation of health professionals, the consequences will be felt across the entire state.
The budget that legislators must adopt by June 15 will set California on one of two courses: protecting the health coverage that millions rely on, or allowing federal cuts to decimate Medi-Cal, the insurance program covering 15 million Californians.
Without a strong response from lawmakers in the coming days, millions will be pushed out of coverage or lose critical health benefits, making California sicker and more unequal.
Without serious intervention, July 1 will usher in a new era for American health care, carrying dire consequences for decades to come.
These provisions are not neutral reforms. They are targeted policies that will decimate the nursing workforce while disproportionately undermining a profession dominated by women — particularly working mothers and women of color.
For the past two years, I’ve co-facilitated meetings in five counties and helped lead numerous projects across California to help these organizations cope with the state’s demands. In nearly every meeting, I observe the same pattern: Community-based organizations are financing California’s Medicaid transformation out of their own organizational capacity.
This dynamic has equity implications that deserve attention.
For many older adults, especially those with low incomes, mobility is not a luxury. It is the foundation of independence, emotional well-being and dignity. Yet access to basic mobility support varies widely across the state. That gap has serious consequences.
As a physical therapist working in post-acute and long-term care, I see this divide every day.
As a licensed vocational nurse who has worked in emergency rooms and mental health settings throughout Southern California, I’ve seen the impact of Substance Use Disorder.
While California has taken major strides in addressing the opioid epidemic and decreasing the risk of unnecessary opioid prescriptions for patients, a major gap exists for some of the most vulnerable populations.
Veterans have long stood at the forefront of national service — a dedication that deserves not only words of gratitude but also a firm commitment to their well-being. Yet, for far too many veterans in California, military service has been followed by the struggle of living without a home due to skyrocketing rent fees, as well as untreated health conditions and health care barriers.
Most parents are not “anti-science” or “anti -vaccine” by default. They are trying to make the best choices in a world that feels more complicated and less trustworthy than ever before.
The solution isn’t more statistics or louder voices. The solution is trust.
State leaders estimate that the federal Medicaid cuts will force 3.4 million Californians out of our version of the program, known as Medi-Cal. But we do not have to sit idly by and wait for the fallout. In fact, states and communities still hold real power to blunt the worst outcomes and protect coverage for millions.
California can implement the law in the least harmful way: creating broad exemptions, simplifying paperwork and deploying technology to reduce administrative friction.