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From the President

Dr. Sandra R. Hernández has led the California Health Care Foundation since January 2014. In her monthly column she reflects on her experiences as a physician and philanthropic leader to comment on current events through the lenses of CHCF's goals, initiatives, research, and projects.

  1. Where's the "Better Care" in Senate Health Bill?

    Sandra R. Hernández, President & Chief Executive Officer
    Sandra Hernandez
    Sandra R. Hernández

    This year Congressional leadership and the Trump Administration have disrupted health insurance markets with uncertainty. Their vision is to undermine and ultimately do away with the Affordable Care Act (ACA) and to obfuscate the dramatic coverage gains realized over the last seven years. While focusing on this plan, the GOP has not addressed how to make communities healthier, how to make our health care system more responsive to patients' needs, or how to improve life expectancy. Considering that the US ranks 50th of the 55 nations on the Bloomberg Health-Care Efficiency Index, those are the issues that we should focus on.

  2. Celebrate the Survival of the ACA's Principles, But Remain on Guard

    Sandra R. Hernández, President & Chief Executive Officer
    Sandra Hernandez
    Sandra R. Hernández

    I am one of millions of Californians celebrating the decision of leaders in Washington not to bring the misguided American Health Care Act (AHCA) to a vote in the House of Representatives. Because of this surprising and historic turn of events last week, the tremendous gains our state achieved under the landmark Affordable Care Act remain intact. That is good policy for vulnerable people, for the health care system, for democracy, and for California's cherished values of inclusivity and social justice.

  3. ACA Repeal Bill Is Cruel Medicine

    Sandra R. Hernández, President & Chief Executive Officer
    Sandra Hernandez
    Sandra R. Hernández

    Last week, the House bill to repeal and replace the Affordable Care Act (ACA) emerged from the shadows into the glare of public scrutiny, and it wasn't a pretty sight. The American Health Care Act (AHCA) is a deeply disturbing plan that would shift hundreds of billions of dollars to the rich and the healthy at the expense of the poor, the sick, and the elderly.

    Four years after the ACA enabled millions of Californians to gain health coverage from California's Medicaid program (Medi-Cal) and the Covered California marketplace, House Speaker Paul Ryan, with support from President Donald Trump, wants to revoke coverage and care for our most vulnerable people. In the process, he wants to dismantle the carefully constructed broad base of revenues that finance that care. The Congressional Budget Office (CBO) estimates that the Ryan bill would reduce the number of Americans with health insurance by 14 million next year, rising to 24 million in 2026.

  4. How CHCF Is Responding to the Changing Landscape

    Sandra R. Hernández, President & Chief Executive Officer
    Sandra Hernandez
    Sandra R. Hernández

    The inauguration of Donald Trump as our next president seems likely to bring significant change to the health care system. While we at the California Health Care Foundation (CHCF) can only guess how the story will play out, the intense debate highlights to us that the foundation's core mission — improving the health and care of all Californians, especially the underserved — is more important than ever.

    We are proud of California's gains from the Affordable Care Act (ACA). Five million more Californians are now covered, the uninsured rate has been cut in half, financial stability has increased for families and health care institutions, and thousands of jobs have been created.

  5. Thank You, California Voters

    Sandra R. Hernández, President & Chief Executive Officer
    Sandra Hernandez
    Sandra R. Hernández

    The health care agenda is certain to be dominated for some time by the national debate over the future of the Affordable Care Act (ACA), but I want to take a moment to recognize several important state and local health policies that were overwhelmingly backed by California voters.

    While some on the national scene favor a rollback in the public commitment to health care for all, Californians stepped up on November 8 and demonstrated strong support for low-income communities having reliable access to health care when and where they need it. California voters also demonstrated they understand that growing consumption of sugary drinks and widespread use of tobacco products increase the disease burden on our families and the health care system that cares for them. Please note that the California Health Care Foundation does not take positions on ballot initiatives nor do we work to support or oppose any initiatives.

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