Skip to content
国产精品视频 Care Is Front and Center as DeSantis and Newsom Go Mano a Mano

国产精品视频 Care Is Front and Center as DeSantis and Newsom Go Mano a Mano

Florida Gov. Ron DeSantis in a suit and tie speaks from behind a lectern and gestures with his right hand.
(Matias J. Ocner/Miami Herald/Tribune News Service via Getty Images)

Gov. Ron DeSantis
Age: 45
Florida population: 22.2 million

California Gov. Gavin Newsom speaks into a microphone held in his right hand and gestures with his left hand.
(Michael Nagle/Bloomberg via Getty Images)

Gov. Gavin Newsom
Age: 56
California population: 39 million

Republican presidential candidate Ron DeSantis and Democratic Gov. Gavin Newsom 鈥 political rivals from opposite coasts and proxies for red and blue America 鈥 are set to square off for a first-of-its-kind debate Nov. 30 in Georgia.

Newsom, a liberal firebrand in his second term as governor of California, isn鈥檛 running for president in 2024. But he goaded DeSantis, in his second term as governor of Florida, to go mano a mano. 鈥淚鈥檒l bring my hair gel. You bring your hairspray,鈥 he .

The matchup promises to be a heated brawl between rising political stars who lead two of the nation鈥檚 most populous and diverse states. And it will mark the first time the politicians meet in person even as they have very publicly traded barbs and insults, in recent weeks attacking each other in and .

Front and center will be homelessness and health care, top priorities for voters 鈥 and issues that have largely defined the governors鈥 policies and leadership styles. From abortion to covid-19 vaccines, Newsom and DeSantis could not be further apart.

Earlier this year, DeSantis blasted California for being too generous with public benefit programs, such as Medicaid, which the Golden State has expanded to all eligible residents regardless of immigration status. That sweeping policy takes effect in January and goes well beyond the optional expansion of Medicaid that the Affordable Care Act offered states. In Florida, one of to expand Medicaid under Obamacare, DeSantis wears the state鈥檚 residents as a badge of honor.

鈥淲e鈥檙e not going to be like California and have massive numbers of people on government programs without work requirements,鈥 DeSantis said at a presidential primary debate in Southern California earlier this year.

DeSantis has led his state to restrict abortion and gender-affirming care and to ban covid-related mask and vaccine mandates.

Newsom, a slick and brash surrogate for Democratic President Joe Biden, has slammed DeSantis for putting Floridians in danger and stripping them of their rights.

鈥淛oin us in California, where we still believe in freedom,鈥 Newsom said in earlier this year.

Newsom has earned the moniker of 鈥渉ealth care governor鈥 by catapulting the issue to the top of his policy priorities. He made California an abortion sanctuary and is dramatically expanding health care benefits. He had promised to bring single-payer health care to the nation鈥檚 most populous state while campaigning for his first term, but that idea hit stiff political opposition early in his tenure. And now Newsom boasts about bringing the state鈥檚 uninsured rate to an all-time low of 6.5% by expanding coverage in other ways.

These issues are expected to take center stage during the nationally televised 90-minute debate on Fox News, which could have major reverberations for the presidential contest next year and could even help shape the 2028 field of White House contenders.

In advance of the showdown, KFF 国产精品视频 News analyzed 10 of the governors鈥 top health care positions and how their policies have improved 鈥 or hindered 鈥 the health of the residents they represent.


DeSantis has refused to expand Medicaid eligibility to more people under the Affordable Care Act. Partly as a result, more than had coverage through the federal Obamacare exchange as of February, more than any other state. Florida does not have a state-based exchange or offer state-sponsored subsidies.

The state has enthusiastically embraced the Affordable Care Act, expanding Medicaid while setting up its own insurance exchange, Covered California. Under Newsom, it has also gone well beyond the provisions of Obamacare and created a state requirement for Californians to have health insurance after the federal mandate was eliminated.


DeSantis in April banning abortions after six weeks of pregnancy. However, the Florida Supreme Court has to the 15-week ban introduced in 2022, which will determine if the six-week ban can take effect.

Newsom spearheaded the effort in 2022 to to enshrine the right to abortion and birth control. He also approved to help uninsured patients and people from out of state pay for abortions in California, and signed reproductive health care laws, including who mail abortion pills to other states.

Transgender Care

Under DeSantis, Florida passed a law this year for trans minors and mandating that adult patients sign before starting or continuing hormone treatment. The law also restricts who can order hormone therapy to physicians and prohibits the use of telehealth for new prescriptions. A federal lawsuit challenging the law is set to go to trial in mid-December.

Newsom and other state leaders have amended state law to ensure all are entitled to gender-affirming health care services. And insurance companies doing business in California information on in-network providers for gender-affirming services by 2025. State health care agencies are designing 鈥渆nforceable quality standards鈥 to ensure trans patients have access to comprehensive care.


DeSantis has not declared homelessness a priority. In a video filmed on the streets of San Francisco and posted to social media in June, DeSantis used the topic as to criticize what he called 鈥渓eftist policies鈥 in California. Florida with using Medicaid funds to address homelessness, but the program is limited. Nearly are homeless in Florida, or .

Newsom has plowed more than $20 billion into the homelessness crisis, with billions more for health and social services. For example, some homeless Californians can get social services through the state鈥檚 Medicaid program, such as money for rental security deposits, utility payments, and first and last month鈥檚 rent. Newsom also led a new state initiative that could force some homeless people into mental health or addiction treatment. More than are homeless in California, or 44 of every 10,000 residents.

Mental 国产精品视频

DeSantis has kept his pledge to advocate for mental health treatment programs as governor, although Florida still in access to mental health care and has the fourth-highest rate of adults with mental illness who are uninsured, according to the Miami Center for Mental 国产精品视频 and Recovery. Under DeSantis, Florida has increased state funding for and peer-to-peer mental health , and directed funding to suicide prevention.

Newsom in 2020 signed one of the nation鈥檚 strongest laws, which requires insurance companies to cover mental health and substance use disorders just as they would physical health conditions. He is funding a to provide mental health treatment in schools. Newsom is also leading the campaign for a statewide, measure in 2024 to revamp and expand community-based behavioral health programs, including thousands of new treatment beds.


Florida鈥檚 drug overdose death rate was in 2021. In August, DeSantis announced a new billed as a 鈥渇irst of its kind鈥 in the United States, using peer counselors, medication-assisted treatment, and a coordinated network of support services. DeSantis also to adopt needle exchange programs in 2019 to reduce the spread of blood-borne diseases and encourage addiction treatment.

California鈥檚 drug overdose rate was people in 2021. Newsom is sending the state Highway Patrol and National Guard into San Francisco to combat the open-air fentanyl trade and is boosting addiction recovery programs statewide. But last year that would have allowed Los Angeles, San Francisco, and Oakland to establish safe injection sites.

Prescription Drugs

A DeSantis proposal submitted to the FDA in 2020 includes allowing . A new state law also sets 鈥 intermediaries between insurers, pharmacies, and manufacturers 鈥 and creates new rules for them around pricing transparency. The law also requires pharmaceutical companies to disclose significant price hikes.

Newsom is spearheading a , first-in-the-nation initiative that puts California in the generic drugmaking business, beginning with insulin and the opioid reversal drug naloxone. California already had a pricing transparency law when Newsom took office. This year, he signed a law for pharmacy benefit managers.

国产精品视频 Care Affordability

In 2019, DeSantis signed the , which allows health insurers to share cost savings with enrollees who shop for health care services, such as imaging and diagnostic tests. Under his leadership, Florida lawmakers have also lasting less than a year and between a patient and a health care provider that are not considered insurance and are not subject to Florida鈥檚 insurance code.

One of Newsom鈥檚 first health care initiatives was to fund state-financed health insurance subsidies for low- and middle-income residents who purchase insurance through Covered California. Newsom this year also agreed to lower copays and get rid of some deductibles for plans sold through the exchange. California鈥檚 newly created is capping industry cost increases and could potentially regulate health industry consolidation. California bans short-term health plans.

Public 国产精品视频

DeSantis in 2021 banning government, schools, and private employers from requiring covid vaccinations. In 2023, he prohibiting certain vaccine and mask requirements. He also formed a led by his hand-picked surgeon general, Joseph Ladapo, whose official guidance on covid vaccines contradicts the CDC鈥檚 recommendations. The Sunshine State鈥檚 covid-19 for residents age 5 and older is 12.4%.

Newsom became the first U.S. governor to issue a statewide stay-at-home order at the start of the covid-19 pandemic. He pushed strong vaccination and mask mandates and accused DeSantis of being weak on public health. Newsom has also signed laws strengthening childhood vaccination mandates, including a measure that cracks down on granted by doctors. The Golden State鈥檚 covid-19 vaccine booster rate for residents ages 5 and older is 21.9%.

Immigrant 国产精品视频 Care

With DeSantis making immigration a priority, legislators passed a requiring all Florida hospitals to ask on their admission forms whether a patient is a U.S. citizen or lawfully present in the country. Doctors, nurses, and health policy experts say the law targets marginalized people who already have difficulty navigating the health care system and will further deter them from seeking care.

Beginning in January, all will be eligible for the state鈥檚 Medicaid program. Before Newsom took office, California had already expanded eligibility to immigrant children through age 18 living in the state without authorization. Newsom then signed laws expanding the program to young adults up to age 26, adults 50 and older, and, later, immigrants of any age who otherwise meet eligibility requirements.

This article was produced by KFF 国产精品视频 News, which publishes , an editorially independent service of the .