The comprehensive health care plan unveiled by New York City Mayor Bill de Blasio this week drew applause from the Democrat's supporters but also skepticism from those in the city who question the value and cost of the effort.
De Blasio said NYC Care will provide primary and specialty care from pediatric to geriatric to 600,000 uninsured New Yorkers. De Blasio estimated the annual cost at $100 million.
"This is the city paying for direct comprehensive care (not just ERs) for people who can’t afford it, or can’t get comprehensive Medicaid - including 300,000 undocumented New Yorkers," Eric Phillips, spokesman for de Blasio, boasted on Twitter.
State Assemblywoman Nicole Malliotakis, a Republican representing parts of Brooklyn and Staten Island, criticized the proposal as an example of de Blasio using city coffers "like his personal ATM."
"How about instead of giving free health care to 300,000 citizens of other countries, you lower property taxes for our senior citizens who are being forced to sell the homes they’ve lived in for decades because they can’t afford to pay your 44 percent increase in property taxes?" she said.
Seth Barron, associate editor of City Journal and project director of the NYC Initiative at the Manhattan Institute think tank, noted that the city's uninsured, including undocumented residents, can receive treatment on demand at city hospitals. The city pays more than $8 billion to treat 1.1 million people through its New York City Health + Hospitals program, he wrote.
Barron said the mayor is simply trying to shift patients away from the emergency room and into clinics. He said that dividing $100 million by 600,000 people comes to about $170 per person, the equivalent of one doctor visit.
"Clearly, the money that the mayor is assigning to this new initiative is intended for outreach, to convince people to go to the city’s already-burdened public clinics instead of waiting until they get sick enough to need an emergency room," Barron wrote. "That’s fine, as far as it goes, but as a transformative, revolutionary program, it resembles telling people to call the Housing Authority if they need an apartment and then pretending that the housing crisis has been solved."
The plan expands upon the city's MetroPlus public option plan, as well as the state's exchange through the federal Affordable Care Act. NYC Care patients will be issued cards allowing them access to medical services, de Blasio said.
The mayor's plan has plenty of support. Mitchell Katz, president and CEO of NYC Health + Hospitals, said the plan will help his agency "give all New Yorkers the quality care they deserve.” State Sen. James Sanders Jr., who represents parts of Queens, said he looks forward "to seeing the Care NYC program grow and prosper as it helps to create a healthier New York.”
The drumbeat for improved access to health care is not limited to New York.
California Gov. Gavin Newsom on Monday asked Congress and the White House to empower states to develop "a single-payer health system to achieve universal coverage, contain costs and promote quality and affordability."