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robin's avatar

I agree with you regarding the legal context and the ideological messaging. I do question your use of CA as evidence of policy failure.

I am a government employee in CA. My job is to ensure that all retired employees from my municipality have appropriate health coverage. It is true that CA budget for 2025 has a $12 billion shortfall. It's not entirely clear that coverage for undocumented migrants is the straw that broke the camels' back, since numbers that are being reported are for Medical-Cal expenditures *over all* rather than specifically attributed to undocumented migrants.

Additionally, providing baseline coverage to undocumented migrants helps to reduce the cost of services that they access by going to emergency rooms. In the US, emergency rooms are not allowed to deny medical treatment based on immigration status. This is creates a greater drain on resources than providing basic coverage does (because every service rendered in an ER is more expensive than the same service at an urgent care center or public health clinic.)

Furthermore, denying service to a subset of people living in a region is bad public healthy policy. We need only look at the measles epidemic to consider what could happen if undocumented babies aren't vaccinated. Or consider the potential public health crisis if an undocumented gay man is denied PrEP, or an undocumented worker sheds infectious biohazard on a public street.

You and I probably agree that the better approach to discussing this decision is without the ideological, racialized baggage that plagues political extremism.

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