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California, the Crisis and the Next Social Contract: Panel 4

Keynote Panel: Health Care Kim Belsh?, Secretary, California Health & Human Services Agency "I have worked for state governments for more than 20 years, and I can say with confidence that I have never seen a set of challenges like we see today." Jacob Hacker, Co-Director, Berkeley Center of Health, Economic, and Family Security; Professor of Political Science, UC-Berkeley "There is no more important issue (than health care) for considering the next social contract and the place of the states within it." Crystal Hayling, President & CEO, Blue Shield of California Foundation "There are a lot of Americans feeling like the economic system that we all supported and believed in is turning out not to provide the kind of prosperity and support that we all came to expect." Len Nichols, Director, Health Policy Program, New America Foundation "All the people that matter really do get that we've got to do both coverage and delivery system reform." Leif Haase moderated the final keynote panel on the case for and prospects of comprehensive health care reform, both in California and nationwide. Kim Belsh? said she was not surprised that Medicaid would be a target for state budget cuts, and offered a set of near-term priorities and opportunities for health care reform in California. Next, Jacob Hacker sketched out his concept of the long-term risk shift from government and employers onto individuals, noted the rising number of medical-related bankruptcies among families with health insurance, and referenced Franklin Roosevelt's vision of a new social contract between the federal government and the states. Crystal Hayling described the experience of both wealth and poverty that is unique to working in the philanthropy sector, argued that many of the solutions to America's health care problems will be found in "scrappy organizations" such as health clinics, and sounded a hopeful note about the prospects of comprehensive reform. Finally, Len Nichols offered the Washington perspective on health care reform, noted many of the political challenges and opportunities, and framed the issue of health reform in both economic and moral terms.
Length: 01:16:33

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