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All Democratic candidates in this week’s California gubernatorial debate expressed support for providing healthcare coverage to undocumented immigrants, despite earlier discussions about the state’s strained healthcare system and budget concerns.

The candidates defended this position during a debate that highlighted deepening divisions over healthcare policy in a state facing significant fiscal challenges. Current Governor Gavin Newsom recently cut healthcare coverage for undocumented residents as part of efforts to address California’s growing budget deficit.

“We had a broken immigration system, and now you want to victimize the people who are working here and making the state run,” said Democratic candidate and billionaire businessman Tom Steyer when questioned about his support for the policy.

Former Congresswoman Katie Porter, another Democratic candidate, pushed back against concerns about costs by framing healthcare access as a public health necessity. “We can’t afford to have people who are sick, who are making the rest of us sick,” Porter argued, suggesting that denying care leads to worse outcomes for everyone.

When Republican candidate Chad Bianco interjected that undocumented immigrants “shouldn’t be here,” Porter continued her point: “When anyone doesn’t have care, the rest of us are at risk when people don’t get vaccinations. When they don’t go to the doctor, they wind up in the emergency room. They cause longer lines for the rest of us.”

Xavier Becerra, former Biden administration Health and Human Services Secretary now running for governor, emphasized the economic contributions of immigrants. “Immigrants, whether documented or not, work hard. They pay taxes, and sometimes they get injured on the job or their children get sick,” he said.

Becerra argued that preventive care is more cost-effective than emergency treatment. “It would be foolish to tell a family that they don’t have access to the pediatrician or the family doc,” he said, explaining that without primary care, “that child will get so ill that they will have to take that child to the hospital… through the most expensive door in the healthcare system: the emergency room door.”

Republican candidates offered sharply contrasting views. Steve Hilton, a former Fox News host, criticized the state for “spending $20 billion a year on free healthcare for illegal immigrants who shouldn’t even be in the country in the first place.” Sheriff Bianco added, “When are we going to draw the line at any other crime? It’s illegal. They enter the country illegally, we’re not going to incentivize them to come here to take more of the resources that regular Californians aren’t getting.”

The debate revealed an apparent contradiction in the Democratic candidates’ positions. Before defending healthcare for undocumented immigrants, several acknowledged California’s healthcare system faces significant cost pressures. Steyer admitted healthcare is “eating up our budget” and “eating up every single family,” while former Los Angeles Mayor Antonio Villaraigosa warned that a state-run single-payer system would cost approximately $500 billion and require federal approval.

This debate comes as California continues to grapple with rising healthcare costs and budget constraints. Newsom recently signed a $2.8 billion bailout for a healthcare program overwhelmed by costs associated with providing care to undocumented residents.

The candidates’ positions reflect broader national tensions over immigration and healthcare policy, particularly in border states facing fiscal pressures from providing services to growing immigrant populations. As California’s primary election approaches on June 2, 2026, the contrasting visions for the state’s healthcare system and immigration policies represent a critical dividing line between the Democratic and Republican candidates.

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