A letter backed by a coalition of state and local business organizations, as well insurance and health care entities, raised concerns with the potential creation of a single-payer health care system’s impact on New York.

The letter, signed by Business Council President Heather Briccetti, points to the tax increases, cuts to provider payments and the uncertainty surrounding federal waivers needed for the Medicaid program.

In many ways, the letter is a likely harbinger of the intense lobbying effort for and against the New York Health Act that could come next year should Democrats gain control of the state Senate.

“Individuals who like their current coverage — including Medicare beneficiaries, individuals with union or employer-based coverage, and individuals enrolled in the Essential Plan — would lose their coverage, as a government run health care system would limit options available to New Yorkers,” the letter states.

“Even with massive tax increases, patients may still have to wait longer for treatment and there is no guarantee that they would be able to see the doctor or specialist of their choice.”

The letter comes after Gov. Andrew Cuomo and his Democratic primary opponent Cynthia Nixon on Wednesday in a debate discussed the merits of the New York Health Act. Cuomo prefers the adoption of a federal-level single payer system.

But Nixon pointed to the bill’s potential long-term cost savings for health care in the state, as well as the potential job boost the program could create as a result of the savings, as outlined in the RAND Corp.’s report.

Updated: The same business-backed coalition, Realities of Single Payer, released a point-by-point refutation of Nixon’s support for the legislation.

Realities of Single Payer – Candidates Letter 8-28-18 With HB Sig 1 by Nick Reisman on Scribd