Health

Opinion: It’s More Unaffordable to Not Have Health Insurance

Published

5 years ago

December 10, 2020

Kiki

As someone who has been self-employed as a rideshare driver and a freelance writer, I’ve received a crash course in making sense of the quirks and complications of the American healthcare system.

With full-time employment, in some cases, employers pay all the health care insurance costs. In other cases, they pay half. When your monthly premium is $400, that $200 subsidy could go a long way.

I’m single, but it’s even worse for families. My brother, who has a wife and two children, pays more than $1,000 for his monthly premium. Fortunately, he makes a good living and can afford it. But many families can’t.

“The total costs for a typical family of four insured by the most common health plan offered by employers will average $28,166 this year,” according to the annual Milliman Medical Index, an independent assessment of health costs provided by a private risk management firm.

I tried to do the responsible thing and buy health insurance, but it becomes prohibitive when you have to foot the bill yourself. Companies were quoting me premiums averaging about $400 per month – even with Obamacare, which is still too expensive and forces you to buy into the complicated healthcare system. Even with additional Covered California subsidies the costs are still high for freelance workers.

But after I fell ill during the COVID-19 pandemic, I learned the high cost of not having health insurance, too.

I woke up in the middle of the night, experiencing the worst pain I’ve ever had in my life. I finally called an ambulance and was transported to the hospital. I stayed in the hospital for about six hours. They never performed any surgery on me, or gave me any medication. (I had a kidney stone) But when I got the bill, it was about $15,000. Now, I’m buried in paperwork as I try to get rid of this debt. It’s no wonder that healthcare costs are the No. 1 source of bankruptcy.

But people have to ask themselves, can you afford not to have health insurance? I chose to risk not having it and now I have nearly $15,000 in medical debt. The worse thing is this: even if I had medical insurance, I still would have had a large bill. However, I realize that owing $7,000 in medical bills is not worse than close to $15,000.

I finally bit the bullet and decided to buy an HMO program that costs me close to $350 per month. That’s not an easy bill to pay. When I complained about the cost to a friend, she told me I’d be better off saving the money. But I’ve already been down that road.

Therefore, I urge everyone in situations similar to mine to sign up for insurance through Covered California. It’s necessary. Open enrollment began November 1 and runs through Jan. 31, 2021.

And yet, I must point out that though Medical insurance is supposed to protect against medical debt, you still get hit with a pile of bills. As Massachusetts Sen. Elizabeth Warren said, medical insurance doesn’t work. It’s false advertising.

In 2005, Warren was one of the authors on a Health Affairs paper documenting a memorable statistic: More than 40 % of all bankruptcies in America were a result of medical problems. In 2009, they updated that research with an even more startling number: Medical bills were responsible for more than 62 % of all American bankruptcies.

I favor a single-payer system where everyone gets covered. It also lowers health insurance costs because it reduces the administrative and advertising costs for companies. And no matter what the for-profit healthcare talking points tell us, single-payer systems are more efficient.

The United Nations rated the French healthcare system the most efficient, and that’s a single-payer program. And you don’t see large numbers of Canadians crossing the border to go to American for-profit hospitals.

According to retired healthcare executive Randall Potter, the health insurance industry poured millions into a stealth propaganda campaign when director Michael Moore came out with his movie ‘Sicko.” The 2007 movie pointed out the flaws of the American for-profit system and showed how other countries had much more efficient health systems.

“The industry knows from years of focus group message testing that terms like ‘socialized medicine’ and ‘government-run health care’ scare many Americans and that many of us respond favorably to terms like ‘choice’ and ‘competition.’ Based on this knowledge, there were several big lies I helped craft — and that are still in circulation today,” said Potter in an NBC News article.

Whatever the answer is, we need to try something different, because this current system isn’t working. Just look at my story, and there are millions of people like me.

Kiki

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COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

Published

4 weeks ago

February 10, 2026

Oakland Post

Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.

Oakland Post

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As California Hits Aging Milestone, State Releases Its Fifth Master Plan for Aging

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

Published

1 month ago

February 9, 2026

Oakland Post

iStock.

By Bo Tefu, California Black Media

On Jan. 27, California released its Fifth Master Plan for Aging Annual Report,titled “Focusing on What Matters Most,” outlining the state’s progress and priorities as its population rapidly grows older.

The report, issued by the California Health and Human Services Agency (CalHHS), provides updates on the Master Plan for Aging’s “Five Bold Goals”: housing, health, inclusion and equity, caregiving, and affordability.

The report comes as Californians aged 60 and older now outnumber those under 18 for the first time, a demographic shift expected to accelerate over the next decade.

Launched in 2021, the Master Plan for Aging takes a “whole-of- government” and “whole-of-society” approach, coordinating state agencies, local governments, community organizations, and private partners. The annual report highlights significant milestones, including more than 100 California communities joining AARP’s Age-Friendly Network and $4 million in state funding awarded to local organizations to develop aging and disability action plans in 30 communities statewide.

The report also underscores California’s leadership at the national level, noting that dozens of states have followed its example and that federal legislation inspired by the plan was reintroduced in the U.S. Senate in December 2025.

CalHHS Secretary Kim Johnson emphasized the plan’s focus on equity and resilience amid ongoing challenges.

“The Master Plan for Aging continues to provide a vision, a focus, and a platform for collaboration,” Johnson said. “Equity is at the center of all that we do.”

Looking ahead, the report notes that by 2030, one in four Californians will be age 60 or older, positioning the Master Plan for Aging as a central framework for meeting the state’s long-term social, economic, and health needs.

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Candidates Vying for Governor’s Seat Debate at Ruth Williams–Bayview Opera House in San Francisco

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

Published

1 month ago

February 9, 2026

Oakland Post

The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.

By Carla Thomas

On Tuesday, Feb. 3, seven candidates took the stage at the historic Ruth Williams–Bayview Opera House in San Francisco for the gubernatorial debate, hosted by the Black Action Alliance (BAA) in partnership with KTVU and sister station KTTV Fox 11 in Los Angeles.

For many voters, it marked a first opportunity to hear directly from several candidates seeking to lead the nation’s most populous state.

Crucial topics and issues addressed throughout the debate included housing, crime, immigration, climate change, health care and homelessness.

The debate was moderated by KTVU political reporter Greg Lee alongside KTVU’s Andre Senior and KTTV Fox 11’s Marla Tellez.

Candidates also addressed inflation and the rising costs across the state, impacting everything from groceries to childcare and health care.

Thurmond vowed to generate 2.3 million units of housing by placing 12 units on each parcel of available land in the 58 counties of California. Steyer agreed that billionaires should pay their fair share of taxes.

Hilton wanted to cut taxes, help working-class families, and end the Democrats “climate crusade and insane regulations.”

Yee offered a more transparent governmental approach with accountability, given the state’s debt.

Gonzalez said, “This debate was a great way to see who has great ideas and who has substance.”

“It’s important to have the debate within a community that requires the most,” said business leader Linda Fadekye.

Attendees included State Controller Malia Cohen, representatives of the National Coalition of 100 Black Women, the National Coalition of 100 Black Men, the San Francisco African American Chamber of Commerce, and Black Women Organized for Political Action, among others.

Event host, the Black Action Alliance (BAA) was established to amplify the voices of the Bay Area’s Black community, whose perspectives have too often been overlooked in politics and public policy.

Loren Taylor, CEO of BAA, said it was important to bring the event to the Bayview in San Francisco and shared his organization’s mission.

“The Black Action Alliance (BAA) stands for practical, community-driven solutions that strengthen public safety, address homelessness, support small businesses, expand affordable housing, and ensure access to quality education—issues at the heart of the Black experience in the Bay Area,” said Taylor.

California’s primary election will take place on June 2 and the general election will take place on Nov. 3.