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Sometimes it’s easy to be skeptical about government, but I have to say California has worked with unusual foresight to secure its health-care system against political shifts in Washington. By expanding Medi-Cal to include all low-income residents, sustaining long-term funding through the managed care organization tax, and writing into state law protections for preventive services, reproductive care, and gender-affirming treatment, it has placed access to health care on firmer ground than most other states in the union. The state has also partnered with its West Coast neighbors to provide independent, science-based vaccine guidance, ensuring consistency and trust in public health. At the same time, California’s legal leadership has defended Medicaid, Affordable Care Act protections, and patient privacy, often through multi-state coalitions. All in a bid to somewhat shield us from some of the unbelievably shortsighted federal actions being taken and proposed. The result is a model of resilience: Californians can look to a health system designed not only to withstand political volatility but to embody a commitment to equity, access, and innovation. California demonstrates that with planning and resolve, health care can be somewhat protected as a right and a public good. www.ruthhaskinsmd.com #rights #ladydocfolsom #obgyn #ruthhaskinsmd
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AuthorDr. Haskins brings over 30 years of experience in Obstetrics and Gynecology As a former CMA President, she is actively involved in the political process and is well known at the state capitol and in congress as a passionate advocate for women's health care. Archives
January 2026
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