The following is a statement by Lt. Gov. Gavin Newsom on U.S. Supreme Court decision of ACA:

There is a healthcare crisis in this country, a crisis with profound implications for each citizen in every city and county in America.

Today’s United States Supreme Court decision, which upheld the individual insurance requirement, is just a start. But the decision allowing states to opt-out of Medicaid expansion still leaves millions of Americans vulnerable.

We can — and must – act now to do more to offer healthcare access to all.

We do not have time to stand on the sidelines. There is a crisis but there is also a solution.

Americans know it is much less expensive to keep people healthy than it is to treat their sickness. This is particularly true when much of the treatment for uninsured Americans is provided in costly emergency rooms. Without a universal healthcare plan, our emergency rooms will continue to bear the brunt of this crisis and citizens will pay the price with higher taxes, more expensive premiums, hidden costs and increased fees.

While serving as mayor of San Francisco, I saw first hand the impact of the healthcare crisis on the insured, uninsured, businesses, emergency rooms and municipal coffers.

We decided to address this crisis head-on and launched the country’s first local universal health care program, Healthy San Francisco. It is blueprint that can be replicated by cities and counties across the nation. A public plan can work. San Francisco is proving it.

Since being implemented, more than 80 percent of uninsured San Franciscans have received medical coverage. Healthy San Francisco is not health insurance, instead it provides access to affordable basic and ongoing health care services for the uninsured, regardless of immigration status, employment status, or pre-existing medical conditions.

We must not wait for the federal government to take the lead in the wake of the today’s Supreme Court decision.

Cities and counties across the nation, such as Dallas, Indianapolis, and Miami, have already taken steps to establish healthcare service access programs. California must move forward with innovative programs, like Healthy San Francisco, that provide access to healthcare and not simply access to healthcare insurance.

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