A doctor contemplates his role in helping to implement health reform and decides that his connection to the community will be as important as his knowledge of medicine.
The Republican nominee for the US Senate says she favors importation of drugs from Canada, a government-run high-risk pool for the uninsured, and more funding for community clinics to serve the poor. She would also like to see health insurance premiums tied to consumer behavior.
It will be years before the new health insurance exchange at the heart of the federal health reform passed in March rolls out in California. But decisions being made now could shape how that exchange looks and works, the health benefits it makes available to consumers, how much Californians pay for their coverage and the roles played by the government and the private insurance industry.
The federal health care overhaul signed last month by President Obama will not prompt significant changes in the short term for Healthy San Francisco, the city program that provides medical care for more than 51,000 low-income residents. And even when most major provisions of the federal law take effect in 2014, city officials say, there will still be a need for Healthy San Francisco to serve an estimated 20,000 patients who will not have health insurance under the federal law, including many who are in the country illegally.