The current healthcare system prioritizes profits over patients and is in need of drastic revision. Healthcare is a civil right and should be a promise to all Californians. The California National Party believes that California must move to a universal single-payer system in order to compete with private hospitals, and we will educate Californians about the benefits of single-payer healthcare. The Canadian model, the French model, and the Malaysian model each have strengths and weakness, but all of them are better by far than the American model. The transition to a universal single-payer system will employ the Canadian model at first, and as time goes on California will develop its own system with lessons learned from that experience.
California must end the medical segregation of public health care and consolidate all federal, state, and local healthcare administrations into one unified public system, to be called the California Healthcare System, or CHS. This Medicare-for-all type system will vastly reduce the cost of hospital administration by combining Medicaid, Medicare, the Veterans Administration, workers compensation, Indian Health services and many others into one universal system.
Our plan is to institute a functional Medicare-for-all system in 5 to 6 years, and in 15-20 years a new system, most likely similar to what currently operates in France or Malaysia.
The Canadian model will be used in transition, allowing private hospitals to bill the CHS a fee-for-service with rates negotiated by the government, followed by an evolution into a Malaysian or French model once public hospitals are accessible to all. Having a hospital in each county, or in smaller counties a clinic if they choose, and allowing for a managed care system that is all encompassing, will greatly increase access to preventative medicine, and reduce hugely expensive emergency care. To help address the doctor shortage, medical personnel will also be recruited internationally, and medical tourism for Californians will be encouraged.
The astronomical prices of prescription drugs is a primary driver of rising costs. The CHS should serve as the primary negotiator for medication prices, for all insurers and hospitals, to help control healthcare costs.
California must restrict pharmaceutical advertising, and will enable the CHS to source prescription drugs internationally so as to bring our costs in line with the global average.
Medical Education and Malpractice
California should make healthcare education free for California Residents, forgive existing medical and nursing school debt, and have college students enroll in the CHS Program for Medical Professionals early in their secondary education. This will facilitate the implementation of a more reasonable pay scale.
California must increase the number of doctors by opening additional medical schools and having larger graduating classes.
California needs to implement limited liability insurance for doctors, have the state be partially liable for medical mistakes within the public system,and conduct research as to exactly how many unnecessary deaths and other medical errors are occurring presently. Regular reports on medical malpractice and how to reduce it will maximize the ability of Californians to pursue healthy lifestyles.
Healthcare is a civil right that, if not provided to all, is disproportionately denied to those who are less rich, especially people of color. In the interest of focusing on preventative medicine and healthy living, the California National Party believes that California should:
- Return to using house calls for family medicine to limit medical cost, especially in rural areas.
- Direct additional benefits in the form of nutritional assistance and other health necessities to communities of color.
- Establish a statewide system for giving expectant mothers basic material resources and information about childbirth and child-rearing.
- Construct community clinics, and incentivize future healthcare investments, in communities of color across the state.
The California Healthcare System will not reimburse doctors and clinics who refuse patients based on their race, gender, sexuality, disability, religion, or other status unrelated to health.