SACRAMENTO, Calif. — Antonio Villaraigosa, former Los Angeles mayor and current candidate for California governor, on Friday said he opposed the creation of a state-level single payer health care system.

Villaraigosa’s stance separated him from three rival Democrats who appeared on stage with him at a candidate forum at UC Riverside.

Candidates, who were asked about a single-payer health care system during a question-and-answer session that only involved raising their hands, did not provide explanations for their stances. But during earlier remarks, Villaraigosa had said he had no interest in selling “snake oil” solutions to voters on complex matters like health care.

The divide stood out because the four Democrats were otherwise closely aligned on prioritizing health care if elected in the 2026 race.

Aside from Villaraigosa, the candidates included: former state Controller Betty Yee, former U.S. Secretary of Health and Human Services Xavier Becerra and California Superintendent of Public Instruction Tony Thurmond.

During the event, candidates were asked how they would approach a range of issues that impact an individual’s health, including aging, nutrition and mental illness.

The four contenders were largely on the same page, with all promising to work on removing barriers to care by expanding health care coverage and supporting programs that increase access to fresh food and mental health services. They all voiced support for creating pathways and incentives for students to study health care to help with industry staffing shortages.

Each also offered slightly different insights when asked a question about how to best support the “sandwich generation,” or those who are caring for both children and aging parents.

Becerra recalled how he and his siblings took turns caring for their aging father, which allowed him to spend his final years at home.

“There is nothing better because they are being cared for by those who love them,” Becerra said. “If I am governor, home care will be compensated.”

Yee said income tax credits could help and explained she would work with employers to improve employee leave options.

Thurmond said California should create a long-term care system for seniors similar to the system the state developed to help homeowners unable to access homeowners insurance.

The event was organized by Health Matters, a nonpartisan forum on health and equity that is organized by 11 health-focused foundations in California.

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