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Single-Payer Health Care Bill to be Introduced in California Senate

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By Anna Gorman, California Healthline

 

Legislation to be introduced in the state Senate Friday would set California on a path toward the possible creation of a single-payer health care system ― a proposal that has failed to gain traction here in the past.

 

The bill, which is a preliminary step, says that that it would establish a comprehensive, single-payer health care program for the benefit of everyone in the state.

 

The legislation, introduced by state Sen. Ricardo Lara (D-Bell Gardens), does not offer specifics of what the plan would look like, nor does it mention a timetable.

 

A single-payer system would replace private insurance with a government plan that pays for coverage for everyone.

 

Proponents argue that single-payer systems make health care more affordable and efficient, but opponents say they raise taxpayer costs and give government too much power.

 

Medicare, the federally-funded health coverage for the elderly, is often held up as a model of what a single-payer system might look like.

 

Lara said in an interview Thursday that the state needs to be prepared in case the Affordable Care Act is repealed, as President Donald Trump and Congressional Republicans have promised.

 

“The health of Californians is really at stake here and is at risk with what is being threatened in Congress,” Lara said, as the debate continued in Washington about the future of President Barack Obama’s signature health law.

 

Lara noted that while the Affordable Care Act expanded health coverage for many Californians, it left others uninsured or underinsured.

 

He said the single-payer bill builds upon his “health for all kids” legislation, which resulted in coverage beginning last May for 170,000 undocumented immigrant children.

 

He recently withdrew a request to the federal government, based on a bill he had introduced, that would have allowed adult undocumented immigrants to purchase unsubsidized health plans through Covered California, the state’s insurance exchange.

 

According to the text of the Lara’s bill, a single-payer system would help address rising out-of-pocket costs and shrinking networks of doctors.

 

In California, voters rejected a ballot initiative in 1994 that would have established a government-run universal health program. Gov. Arnold Schwarzenegger later vetoed two bills that would have accomplished the same goal.

 

It’s difficult to create consensus on single-payer plans because they dramatically shift how health care is delivered and paid for, said Larry Levitt, a senior vice president at the Kaiser Family Foundation.

 

“Single-payer plans have lots of appeal in their simplicity and ability to control costs,” Levitt said. “But what I think has always held back a move to single-payer is the disruption they create in financing and delivery of care.”

 

The problem, Levitt said, is that even if they end up costing less overall, single-payer plans look to the public like a “very big tax increase.”

 

The California Nurses Association, the primary sponsor of the new bill, is planning a rally in Sacramento this week in support of a single-payer system.

 

Bonnie Castillo, the group’s associate executive director, said the goal is to create a system that doesn’t exclude anyone and helps relieve patients’ financial burdens.

 

“Patients and their families are suffering as a result of having very high co-pay and premium costs,” she said.

 

“They are having to make gut-wrenching decisions whether they go to the doctor or they stick it out and see if they get better on their own.”

 

Castillo said that with so much uncertainty at the national level, California has the ability to create a better system. “We think we can get this right,” she said.

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Community

Mayor Barbara Lee Holds Special State of the City Address in Deep East Oakland

In partnership with Rise East and the 40×40 Council, Oakland Mayor Barbara Lee held a special 2026 State of the City East Oakland community conversation on Oct. 14. The purpose of bringing a State of the City address directly to the community was to celebrate East Oakland, highli

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Oakland Mayor Barbara Lee, left. moderated a community chat with (l.to r.) Selena Wilson, CEO of the East Oakland Youth Development Center; Carolyn “CJ” Johnson, CEO of the Black Cultural Zone; Dr. Noha Aboelata, CEO of Roots Health Center and Greg Hodge, CEO of the Brotherhood of Elders.

In partnership with Rise East and the 40×40 Council, Oakland Mayor Barbara Lee held a special 2026 State of the City East Oakland community conversation on Oct. 14.

The purpose of bringing a State of the City address directly to the community was to celebrate East Oakland, highlight the work underway, and look ahead to what neighbors, local businesses, youth, funders, community organizations, and partners can accomplish together.

Held at the Roots Community Health/Parker Elementary School Campus at 7929 Ney Ave., the event was emceed by special guest Mark Curry, Oakland native, comedian, and actor.

Lee shared how Rise East and the 40×40 Council have brought together the knowledge, relationships, and resources of people and organizations committed to East Oakland.

Residents bring lived experience, community organizations bring trusted relationships and philanthropy, and businesses bring resources and opportunity, she said, then turned to the government’s role: public investment, services and policy.

But, Lee intoned, City Hall has a responsibility to help connect those efforts.

“I am committed to listening to residents, working across departments and sectors, and helping open doors to opportunity. We must connect neighborhood priorities to the decisions we make about housing, economic development, safety, health and our young people.

City Hall “must be accountable for the results,” Lee said.  “The measure of success is what families experience: greater stability, more opportunity and a stronger sense that they belong and have a future here.

“Tonight is an opportunity to listen to the leaders doing this work, learn what is making a difference and identify where we can do more together,” the mayor said.

Lee went on to moderate a ‘fireside chat’ on the theme: Building Oakland’s Future Together — From Neighborhood Investment to Community Empowerment with:

  • Selena Wilson, CEO, East Oakland Youth Development Center
  • Greg Hodge, CEO, Brotherhood of Elders
  • Carolyn “CJ” Johnson, CEO,  Black Cultural Zone
  • Dr. Noha Aboelata, CEO, Roots Health Center

Mayor Barbara Lee’s media relations department provided this report.

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Black History

Practitioners of African Traditional Spirituality Offer Ancestral Reverence Ritual Oct. 31

The Council for Global Ancestral Reverence will host “Ancestral Souls Rising” from Oct. 31 to Nov. 2, featuring a three-day gathering of prayer and discussion. Led by elders and priests across the African diaspora, the seventh annual ritual honors those lost without traditional rites while addressing current social challenges. This year’s event connects ancestral wisdom with contemporary issues, including a two-day conversation inspired by Afro-Beat music focused on Black community solidarity and the sacred importance of voting. Read more for details on the ritual schedule and participants.

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Oakland native Nedra Williams writes sacred symbols on the ground in San Leandro. Courtesy photo.

The Council for Global Ancestral Reverence (C4GAR), a group of elders who practice African traditional spirituality, will lead a three-day gathering of prayer and discussion from Oct. 31-Nov. 2.

Called ‘Ancestral Souls Rising,’ the council members and 21 priests will lead the prayers from many parts of the African diaspora: Africa, Portugal, and across the U.S. from Maryland to the Bay Area.

Now in its seventh year, the annual ritual began during the 2020 pandemic when hundreds of thousands of people died alone and were buried in mass graves without rites and rituals according to loved ones’ traditions.

This prayer event was and is intended to give peace to the departed and comfort for the living who still mourn. Each year, we gather names of new ancestors from living elders to elevate them into the “Great Hall of the Titans.”

In ensuing years, C4GAR added themes to the prayer gathering that referenced current events. In 2024, before the consequential presidential election, C4GAR called on people to vote, invoking the memory of Civil Rights Movement heroes and heroines like John Lewis, who urged “Good Trouble,” and Fannie Lou Hamer, who famously declared that she was “sick and tired of being sick and tired.”

The day of global Prayer on Oct. 31 will be followed by a two-day conversation inspired by “The Blueprint,” an Afro-Beat song by UyiosaEl, to write our new blueprint that supports solidarity and action in the Black community.

 “Our elders have, for many generations, known the power of prayer, ritual and breath,” the council said in a statement.

It was and is their intention, then, to use the cultural wisdom, the gift of prayer “and the most sacred thing we have, our breath, to send energy into the world that invokes and honors our ancestors,” the council statement continued.

“Doing this creates a vibration that protects us and employs their ancient wisdom for the well-being of our communities,” the elders said.

The councilmembers, all over the age of 60, recognize that what is now history for so many was once their lived experience. And that history, those joys and sorrows, are now in their bodies.

To them, the uttered prayer and the sacred breath are oaths to an unfolding future that people can still shape.

The council members are Dr. Iyabeji Cathy Royal, Iyalocha Jennifer Dillard, Manbo Charlene Desir (Florida), Nana Sula Spirit (Louisiana), Baba Obafemi Feyemi, Ohen Nedra T. Williams, and Iyalocha Wanda Ravernell-Stewart Emeritus (Oakland).

This year, they also encourage everyone within their reach to VOTE because it is not only a secular and political act, but a sacred one. Remember, the ancestors were denied that right and died for it.

For tickets, go to:

https://www.eventbrite.com/e/council-for-global-ancestral-reverence-presents-ancestral-souls-rising-26-tickets-2003127345814?aff=oddtdtcreator

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Community

It’s Time to Lose Weight Before the Holidays

Licensed internist Dr. H. Geoffrey Watson has joined gastroenterologist Dr. Ralph Peterson at Oakland’s MacArthur GI to address the rising obesity epidemic. With U.S. obesity rates reaching 42.4%, the clinic offers supervised weight-loss programs and screenings for fatty liver disease. Treatments include dietary counseling and various medications, such as GLP-1 receptor agonists, which regulate digestion and appetite. As certain populations continue to be disproportionately affected by chronic health conditions, medical experts are highlighting new tools available to help patients reach their goals before the holiday season. Read more.

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Dr. H. Geoffrey Watson. File photo.

Dr. H. Geoffrey Watson, a licensed internist, has joined renowned gastroenterologist Dr. Ralph Peterson at MacArthur GI in Oakland to address obesity, provide supervised weight-loss programs including GLP-1 therapy, and screen for and treat fatty liver disease.

The Obesity Epidemic

Obesity is associated with numerous chronic health problems, including hypertension, diabetes, heart disease, sleep apnea, asthma, depression, joint disorders, fatty liver disease, and high cholesterol. Its causes include genetics, environment, stress, medication side effects, hormonal imbalances, and other factors.

Since 1999, the prevalence of obesity in the United States has risen from 30.5% to 42.4%. Childhood obesity rates are also climbing, with approximately 19.3% of children and adolescents now affected.

Measuring Obesity: Body Mass Index

Obesity is measured using a formula called the Body Mass Index (BMI). You can calculate your own BMI on most smartphones by searching “BMI calculator” and entering your height and weight. A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.

Populations Disproportionately Affected

Obesity affects certain populations at higher rates. Among U.S. adults, obesity prevalence is 49.9% in Black adults, 45.6% in Hispanic adults, 41.4% in White adults, and 16.1% in Asian adults.

Treatment Options

A variety of treatments are available for obesity, including dietary counseling, exercise programs, bariatric surgery, and anti-obesity medications.

Common oral medications include:

• Adipex (phentermine): A stimulant that works by suppressing appetite.

• Contrave (bupropion/naltrexone): A combination of an antidepressant and an anti-addiction medication that helps control appetite and cravings.

• Qsymia (phentermine/topiramate): A combination of a stimulant and an anti-seizure medication that reduces appetite and cravings.

GLP-1 Receptor Agonist Therapy

Glucagon-like peptide-1 (GLP-1) receptor agonists were originally approved to treat type 2 diabetes. GLP-1 is a hormone produced naturally by the body that regulates digestion, blood sugar, and appetite by communicating with GLP-1 receptor cells throughout the digestive tract. These medications reduce cravings, appetite, and food intake by influencing the hunger hormones ghrelin, which stimulates hunger, and leptin, which signals fullness.

What We Offer

Drs. Peterson and Watson provide FDA-approved tirzepatide injections, a GLP-1 receptor agonist medication indicated for weight management. Each patient receives a comprehensive history and physical examination to ensure the safety and appropriateness of the medication as part of an overall weight-loss protocol. Dr. Peterson also offers ultrasound screening for fatty liver disease.

We look forward to helping you reach your weight-loss goals and feel your best this holiday season.

H. Geoffrey Watson, M.D., runs the MacArthur GI Clinic at 10520 MacArthur Blvd., Oakland, CA. He can be reached at (510) 562-7467.

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