Healthy San Francisco's Tradeoffs: Will the costs of implementing the city's health care ordinance ultimately fall on workers?

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The Ninth Circuit U.S. Court of Appeals recently upheld the San Francisco Health Care Security Ordinance. The corner-stone of the ordinance is Healthy San Francisco, an entitlement program administered by the Department of Public Health. At the time San Francisco enacted the ordinance in 2006, U.S. health care spending peaked at $2.1 trillion, roughly $7,026 for every person in the nation. Despite the trillions of dollars spent on health care, an estimated 47 million people in this country are uninsured. In San Francisco alone, there are an estimated 73,000 uninsured residents.

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