If the entire Affordable Care Act were struck down as unconstitutional – as a federal judge ruled on Friday – the consequences for New York's health-care system, and the state budget, would be significant. Assuming the decision is upheld on appeal (which many experts doubt), and assuming Congress does not intervene, the state would lose almost $8 billion in federal aid that subsidizes coverage for more than 4 million residents.
The already extraordinary cost of a proposed state-run single-payer health plan jumped even higher this week when the chief sponsor, Assembly Health Chairman Richard Gottfried of Manhattan, announced that it would be expanded to cover long-term care.
In approving the $69 billion merger of CVS and Aetna, the state Department of Financial Services attached a noteworthy condition: The two companies must forward $40 million to the state of New York. It was the second time this year that the Cuomo administration has leveraged its regulatory authority over a health insurance company to extract a large sum of cash.
The latest too-good-to-be-true argument for single-payer comes from Albany City Treasurer Darius Shahinfar, who claims that a government-funded statewide health plan would dramatically reduce property taxes. In reality, the savings for local taxpayers, if any, would likely be a fraction of what Shahinfar estimates. And they would come at the cost of the largest increase in state taxes that New York has ever seen, not to mention wholesale disruption of the entire health-care system.
Analyzing the impact of single-payer health care on New York's hospitals
The debate about a proposed single-payer health plan for New York State has mostly focused on its potential cost. But far less attention has been paid to the radical impact it may have on hospitals and physicians across the state.
At stake is not only the quality of care for 20 million New Yorkers, but also the fate of a fifth of the economy and the livelihoods of 1.2 million health workers.
Claims about an "age tax" in the House GOP's health care overhaul are particularly misleading in the context of New York's insurance market.