Share
California has never been shy about taking bold steps to tackle the most pressing issues affecting our nearly 40 million residents—from efforts protecting and expanding health care coverage to paving the way for more affordable health services.

Opinion
Janet Napolitano and Lloyd Dean
Special to CALmatters
Over the next decade, California will face a shortfall of 4,100 primary care physicians, nurse practitioners, and physician assistants, the commission found. A public health crisis of this magnitude will strain our families, health care systems, and economy.
After California leveraged the opportunities of the Affordable Care Act and extended health coverage to millions of Californians, it’s critical the state train and retain enough professionals to provide the care people need.
In some parts of California, this workforce gap is already upon us: Seven million Californians, the majority of them Latino, African American, and Native American, live in Health Professional Shortage Areas — a federal designation for counties experiencing shortfalls of primary care, dental care, or mental health care providers.
Implementing These Actions Will Require Support and Commitment
Our aging population, which is growing significantly, will require care in their homes and facilities, adding to the demand for skilled health workers.
As leaders of the University of California and Dignity Health, we understand the challenges and opportunities in training, recruiting, and retaining a robust and diverse health workforce. We see the growing mismatch between the state’s existing delivery of health services and an increasingly diverse population that needs consistent quality care close within their communities.
The good news: After spending more than a year co-chairing the California Future Health Workforce Commission, we are confident this problem can be solved. The commission, consisting of 24 experts from the health, education and labor sectors, is recommending 10 priority actions to eliminate the shortage in primary care by 2030, while increasing the supply of home care workers and behavioral health providers in regions where demand is greatest.
Implementing these actions will require support and commitment from the state, private and public partners, foundations and many others.
Our strategy is as ambitious as it is urgent. The 10 priority actions entail a $3 billion investment over 10 years, adding approximately 47,000 additional health workers—more than 30,000 of them from underrepresented communities.
This Will Be a Monumental Undertaking
The actions prioritize the type of workers and support where it’s needed most:
- Accelerating training of primary care doctors and nurse practitioners and behavioral health providers;
- Expanding college pipeline programs to bring more low-income and underrepresented minority professionals into the health workforce;
- Increasing medical school enrollment and expanding the number of primary care and psychiatric residencies;
- Maximizing the roles of nurse practitioners, home care workers, community health workers and promotores, and peer providers–all of them workers who have some of the most trusted relationships in their communities.
This will be a monumental undertaking, but we have witnessed our state’s resiliency to protect the well-being of Californians.
This is why the commission is urging leaders across the state to plan now for the new generation of health care workers needed, especially in light of Gov. Gavin Newsom’s recent sweeping proposals to make sure more Californians can afford health care.
The commission has outlined the essential ingredients needed to achieve the state’s goals of increased health access and quality health care, and we ask leaders across the state to join us in the building the robust and diverse workforce every Californian deserves.
About the Writers
Janet Napolitano is president of University of California, president@ucop.edu. Lloyd Dean is president and chief executive office of Dignity Health, info@dignityhealth.org. They are co-chairs of the California Future Health Workforce Commission. They wrote this commentary for CALmatters, a public interest journalism venture committed to explaining how California’s Capitol works and why it matters.
Musk Announces Forming of ‘America Party’ in Further Break From Trump
3 hours ago
Death Toll From Texas Floods Reaches 59, Including 21 Children
3 hours ago
California’s Politics Drifts Right While New York’s Leans Left
4 hours ago
How Trump’s ‘Big, Beautiful Bill’ Will Make China Great Again
1 day ago
What’s Caitlin Clark Worth to the WNBA? A Lot More Than Her $78,066 Salary.
1 day ago
Trump to Sign Tax-Cut and Spending Bill in July 4 Ceremony
2 days ago
Clovis, Sanger, Madera, and Bass Lake Will Light the Sky With Fireworks Shows Tonight
2 days ago
Oil Dips Ahead of Expected OPEC+ Output Increase
2 days ago
Fresno DUI Driver Slams Into CHP Motorcycle, Tow Truck on Highway 99
3 hours ago
Categories

Fresno DUI Driver Slams Into CHP Motorcycle, Tow Truck on Highway 99

Russia Downs 120 Ukrainian Drones Overnight, Defense Ministry Says

Israel Sends Delegation to Qatar for Gaza Talks Ahead of Netanyahu Trip to US

Musk Announces Forming of ‘America Party’ in Further Break From Trump

Death Toll From Texas Floods Reaches 59, Including 21 Children

California’s Politics Drifts Right While New York’s Leans Left

How Trump’s ‘Big, Beautiful Bill’ Will Make China Great Again
