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Last week San Francisco passed an ordinance that is a bold step towards providing health care for all city residents. The plan is innovative, since it's not technically insurance - people covered through the plan must receive care in San Francisco through the city's system of public and community clinics and hospitals. It pulls together federal, state, and local funds, along with a mandatory contribution from employers who don't cover their employees and means-tested copayments from participants to provide basic medical care for all residents. By working with the existing system and emphasizing preventive care, it's hoped that costs can be contained and the current wasteful emergency-room centered costs for uninsured patients can be reduced. While the plan faced some opposition from the local business community and many of the specifics are still being worked out, it's an exciting local solution to one of our most pressing national problems...


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