More than three million Californians are expected to lose health coverage in the next several years due to federal Medicaid cuts. At the same time, over half of Californians say they have skipped or delayed care because of rising costs —with nearly half in that group saying their health got worse as a result.

As leaders of health organizations serving Alameda County, Santa Cruz and the Central Coast, we can say unequivocally that these are the two greatest health challenges we’ve faced since the pandemic: Every part of the health system is wrestling with financial uncertainty and reduced access to care on an unprecedented scale.

Look inward

No matter what lies ahead, the consensus among providers and payors is that we will have to do more with less. As we advocate for funding to

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