Member Resources

Where We Stand
Social Policy - LWVUS Health Care

GOALS:

The League of Women Voters of the United States believes that a basic level of quality health care at an affordable cost should be available to all U.S. residents. Other U.S. health care policy goals should include the equitable distribution of services, efficient and economical delivery of care, advancement of medical research and technology, and a reasonable total national expenditure level for health care.

BASIC LEVEL OF QUALITY CARE: Every U.S. resident should have access to a basic level of care that includes the prevention of disease, health promotion and education, primary care (including prenatal and repro­ductive health), acute care, long-term care and mental health care. Dental, vision and hearing care also are important but lower in priority. The League believes that under any system of health care reform, consumers/ pa­tients should be permitted to purchase ser­vices or insurance coverage beyond the basic level.

FINANCING AND ADMINISTRATION: The League favors a national health insurance plan financed through general taxes in place of individual insurance premiums.* As the United States moves toward a national health insurance plan, an employer-based system of health care reform that provides universal ac­cess is acceptable to the League. The League supports administration of-the U.S. health care system either by a combination of the private and public sectors or by a combina­tion of federal, state and/or regional govern­ment agencies.

The League is opposed to a strictly private market-based model of financing the health care system. The League also is opposed to the administration of the health care system solely by the private sector or the states.

TAXES: The League supports increased taxes to finance a basic level of health care for all U.S. residents, provided health care reforms contain effective cost control strategies.

COST CONTROL: The League believes that efficient and economical delivery of care can be enhanced by such cost control methods as:

• the reduction of administrative costs,
• regional planning for the allocation of personnel, facilities and equipment,
• the establishment of maximum levels of public reimbursement to providers,
• malpractice reform,
• the use of managed care,
• utilization review of treatment,
• mandatory second opinions before surgery or extensive treatment,
• consumer accountability through de­ductible and co-payments.

EQUITY ISSUES: The League believes that health care services could be more equitably distributed by:

• allocating medical resources to under-served areas,
• providing for training health care pro­fessionals in needed fields of care,
• standardizing basic levels of service for publicly funded health care programs,
• requiring insurance plans to use com­munity rating instead of experience rating,
• establishing insurance pools for small businesses and organizations.

ALLOCATION OF RESOURCES TO INDIVIDUALS: The League believes that the ability of a patient to pay for services should-not be a consideration in the allocation of health care resources. Limited resources should be allocated based on the following criteria con­sidered together: the urgency of the medical condition, the life expectancy of the patient, the expected outcome of the treatment, the cost of the procedure, the duration of care, the quality of life of the patient after treatment, and the wishes of the patient and the family.

*commonly known as the "single-payer" approach, as explained in the LWVUS 2004-6 "Impact On Issues," p.66