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SACRAMENTO    There’s a calculation Jonatan Gutierrez knows too well, a cost-benefit analysis uninsured Californians make daily: Is the pain or illness worth the cost of seeing a doctor or walking into an emergency room? Gutierrez has watched his parents navigate that uncertainty. At times, the 32-year-old has lived it himself. Despite qualifying based on earnings for the state’s healthcare program for low-income residents, Gutierrez and his parents are not eligible for Medi-Cal because they are living in the country illegally. “My dad has not wanted to go to the doctor,” Gutierrez said. “He would refuse to see a doctor because, he would say, ‘Why would we spend money we don’t have?’”

United statesGavin newsomJoaquin arambulad fresnoRicardo laraJonatan gutierrezAssembly speaker anthony rendonDepartment of health care servicesPublic policy institute of californiaAffordable care actOrange countyPublic policy instituteMaria elena durazoD los angelesCommissioner ricardo laraHealth careJoaquin arambula