The Kaiser Permanente hospital in San Diego, a 617,000-square foot facility. (Photo: Roaming Panda Photos)
OPINION: In giving private health care giant Kaiser Permanente a broad, no-bid Medi-Cal contract that is light on detail, the state could unwind over 40 years of locally driven health care coordination and collaboration for the most vulnerable among us.
Lobbyist Bev Hansen, left, and her fellow advocates in an Assembly corridor just days before the end of the 2014 session. (Photo: Rich Pedroncelli/AP)
While most people have heard of lobbyists and have a general idea of what the lobbying profession is about, few understand the breadth and complexity of this work and the important role that lobbyists play in developing state policy. When I first began lobbying, long-time relationships ruled the process, there was far more bipartisan collaboration, and individual legislators wielded enormous clout.