Doctors and hospitals are in the gunsights of many Democrats who want Medicare-for-all as a draconian price control scheme by government over all medical care in the US. Hospitals are told they charge too much and doctors are vilified for earning too much.

What a relief that a sugar daddy has appeared, a rich boyfriend, a benefactor with a fat wallet, ready to bestow his financial largess on financially strapped healthcare providers.

This sugar daddy is named Gavin, tall and handsome with good hair. I speak of California Governor Gavin Newsom, who finalized a deal with the California legislature, “to provide full health benefits to low-income illegal immigrants under the age of 26.”

California is the first state to provide such benefits to illegal or undocumented immigrants, depending on which term you prefer. Specifically, this group of adults, age 19 to 25 will have access to the state’s Medi-Cal program, California’s version of Medicaid.

California anticipates providing coverage to 100,000 people. I’m not sure how they arrived at this number since I’ve always heard that illegal immigrants “live in the shadows,” meaning we really don’t know how many there are. And when word gets out to the rest of the country, expect that 100,000 number to grow exponentially just as it would if California announced it was giving away cars to this same group of people.

Eligibility would be determined by the same rules of Medicaid, based on annual income. As many young illegals are working off the books, for cash, they will have no official reported income regardless of how much they actually earn, insuring their eligibility for Medi-Cal.

This scheme is to be funded by taxing those who do not have health insurance. Who might that be? Not the young illegals who how have free insurance. How about the small businessman who earns too much to qualify for Medicaid but can’t afford an Obamacare policy with massive premiums, copayments, and deductibles? Or the struggling wannabe actors and actresses in the same financial boat as the small businessman? Or the 60-year-old retiree, not yet eligible for Medicare but unable to afford private insurance given the higher premiums at her age?

How nice of California taxpayers, those American born or here legally, having their earnings confiscated to pay the medical bills of those not here legally. Who pays the medical bills of those Americans who can’t afford their medical care?

Interestingly undocumented elderly are not covered under this new plan. Sugar Daddy Newsom opposed this, preferring the young over the elderly, likely due to the much higher medical costs for those over age 65 compared to those under age 25.

This may have to do with voting preferences. It is unknown how many illegals vote, but younger voters tend to vote Democrat compared to older voters who lean Republican. Is this healthcare scheme a form of voter outreach?

Why are doctors and hospitals across America so grateful for their new sugar daddy?

Americans subsidize health care for illegal immigrants to the tune of $18.5 billion a year according to Forbes. Imagine being able to now offload some of this care to California?

Hospitals are required by law to render emergency care to everyone, regardless of a person’s ability to pay. A pregnant woman illegally enters the US, and when she goes into labor, the hospital is required to deliver the baby, caring for both baby and mother, at an average cost of $32,000.

What if the baby is born premature and needs a few weeks in the neonatal intensive care unit, or is born with a heart or bowel defect, requiring additional surgery? The costs quickly escalate into 6-figure sums.

Labor and delivery is certainly common in the 19-25 age group. So are injuries that may require non-emergency treatment, such as a retinal detachment or a ligament tear in the knee. For the doctor, these patients are considered self-pay. Despite promises to pay all of their medical bills, some patients, once reasonably stable after surgery are gone with the wind, with no way to contact them, and no payment made for rendered services.

What if doctors and hospitals, when discussing costs of medical treatment, can now give the patient a map? A few hundred years ago, newspaper editor and author Horace Greeley advised the 19 to 25-year-olds of the day to “Go west young man”. The same phrase may become popular again, particularly in states adjacent to or close to California.

YouTube screen grab (cropped)

When faced with patients with non-emergent medical problems, direct these patients to the nearest east-west interstate, I-40, I-70, or I-80, and drive toward the setting sun until seeing the “Welcome to California” sign. Go west and allow generous California taxpayers to pick up the tab.

Hospitals won’t be stuck with bad debt and physicians won’t be stiffed after offering their time and expertise without compensation.

Nobel prize-winning economist Milton Friedman said this about an open-border immigration policy. "It's just obvious you can't have free immigration and a welfare state." Which is exactly what California offers, providing free healthcare to living in the state against the law.

While at the same time, California has an out of control homelessness problem, many of those homeless being American veterans. They are living legally in their own country yet living on the streets, in squalor, with rats and other vermin bringing back historic diseases like typhus and typhoid fever. Where is their sugar daddy governor? Busy pandering to those here illegally.

Down on their luck Americans are told to pound sand while illegals are lavished with drivers licenses, welfare benefits, and now healthcare. California cannot care for its own residents, but is opening its doors to the world, promising goodies that will do nothing but attract more of the world, regardless of laws.

When does it end? I’ve suggested that the Trump administration send refugees and illegals to sanctuary cities, so those cities have the opportunity to live with the consequences of their virtue signaling. Now doctors and hospitals can do the same. If California wants to be an open borders welfare state, it’s the least the rest of the country can do to help out by sending young undocumented immigrants to the land of milk and honey.

Instead of “the doctor will see you now”, expect to hear, “go west young man.”

Brian C Joondeph, MD, MPS, a Denver based physician and writer. Follow him on Facebook,  LinkedIn and Twitter.