LWVUS Position
Statement of Position on Health Care, as announced by National Board, April 1993
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 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 is also 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 deductibles and copayments.
EQUITY ISSUES: The League believes that health care services could be more equitably distributed by:
- Allocating medical resources to underserved 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 patients and the family.