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California Can Lead The Way To Medicare For All

Oct 29, 2025

By Lexi J

image (DSA members march for Medicare for All outside the capitol at the Cesar Chavez Day March)

Health care is a human right. Gallup polls show that Americans support comprehensive reform to the US health care system, yet little has changed in recent years to adequately address the significant flaws that create confusion, unnecessary costs, and inadequate care. Bernie Sanders brought the idea of Medicare for All to the national stage during his presidential campaigns: a single-payer health care system that would deliver consistent care to all Americans. As we look at our national politics today, achieving this goal feels like a distant dream.

As we navigate a second Trump presidency, many leftists have encouraged folks to turn towards their local politics, working to enact change in our communities. As the capital of California, Sacramento offers the opportunity to engage with both city and statewide movements. National Nurses United—the country’s largest union of registered nurses—has been working for years to push forward the movement for universal health care. They have worked on a variety of campaigns to champion this cause, including the national Medicare for All campaign. But did you know there has also been action towards establishing CalCare, a push to guarantee universal health care for all Californians?

In February 2024, California Assemblymember Ash Kalra introduced Assembly Bill (AB) 2200, the California Guaranteed Health Care for All Act. National Nurses United states that AB 2200 “would enact a comprehensive framework of governance, benefits, program standards, and health care cost controls for a single-payer health care coverage system in California.”.

Studies show that a single-payer system would reduce overall health care costs, as spending tied to upholding the administrative complexity of our current system would be drastically decreased when you consider that health insurance administrative costs are often tied to finding reasons to reject care to maximize profits. This bill envisions a California where everyone is guaranteed comprehensive medical, dental, vision, and mental health care regardless of income or employment status.

While universal health care in the US may feel distant, the infrastructure that is needed to create these systems has already been thought through. As we continue to feel abandoned by centrist Democrats with empty promises, motivated by donor dollars rather than their constituents, now is the time to envision the society we want to live in. We know that health care reform is an issue that people are passionate about; one that expands beyond political divides. A compassionate government program like universal health care is possible as long as we keep the conversation going. Check out National Nurses United to learn more about both CalCare and Medicare for All legislation, join Sacramento DSA and our Healthcare Committee, call on your elected officials to keep pushing for reform in our health care system, and never stop believing in a society that collectively cares for its people.