City launches ambitious health care plan

? San Francisco soon will become the first city in the nation to offer health care services to all of its uninsured residents.

San Francisco has unique qualities that make it the perfect place to launch such an experiment, many say. It is both a city and a county, which means it has just one set of leaders to grant approval for such a plan.

It also has a well-established primary care system, a sizable amount of health care dollars it can redirect and disproportionately fewer uninsured than many other areas.

The goal is to offer health care services to the 82,000 uninsured adults who earn too much to qualify for Medi-Cal, which serves the state’s poorest residents.

The program would be open to everyone, regardless of immigration status, income or a pre-existing medical condition.

It differs from typical universal health care proposals in one key aspect: It would provide access to services, rather than insurance.