California health care in the 21st Century. A vision for reform

California Insurance Commissioner John Garamendi's proposal for revamping the state's health care system is considered by many to be an improvement on Alain Enthoven's version of managed competition because it separates insurance from employment and includes budgets and a single source of financing. Princeton sociologist Paul Starr, a prominent member of the national Health Care Taskforce, is a proponent of a similar plan on a national basis. This is an excerpt from the Executive Summary of the plan; in 1992 the California legislature approved a commission to study the proposal, only to have it vetoed by Governor Pete Wilson.