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League of Women Voters: A prescription for universal, affordable health care

Wisconsin: There is a general agreement in our country that health care services should be universal and affordable, but no unanimous agreement has yet been found regarding the details of what should be provided and how. In the search for that agreement proposals are coming from many sources - Congress, the state legislatures, candidates for office and interested organizations and individuals. Amid the volumes of information and ideas the League of Women Voters has established some criteria by which to judge the various proposals.

The main goal as stated by the national League of Women Voters is a basic level of quality health care at an affordable cost for all U.S. residents. Mental health coverage, long-term care for the aged, and the provision of health education and disease prevention information all should be provided without consideration of a person's ability to pay.

The league believes that, with some control of administrative costs and some consumer co-payments, it would be quite possible to fully fund a basic program from public sources. During an introductory period we would not oppose some private funding and some insurance pools for small businesses and organizations. The league opposes administering the system solely by the private sector or the states.

The league believes that regional planning and cooperation are necessary to reduce the costs of administration and improve the care available to populations in underserved areas.

Recognizing there are limits to available medical resources, the league suggests that allocation of services be based on the following criteria: the urgency of the medical condition, the life expectancy of the patient, the expected outcome of the treatment, the costs of the treatment, the duration of care, the quality of life for the patient following treatment and the wishes of the patient and the family.

Both the Wisconsin league and the national league have lobbied for a single-payer system similar to Medicare and available to all. Both also specify that reproductive health care information, which includes a woman's right to privacy and choice, be an unrestricted part of any health benefit package.

The current economic downturn and the increased cost of private health insurance add urgency to the quest for a national system of health care such as the league supports. Business would be relieved of an expensive burden if companies did not need to provide health care insurance for their employees. Employees might still be required to take on some small direct costs as is done under Medicare, but the greatest benefit would be felt by the unemployed, of which there is an increasing number. Nothing could be more damaging to constructive family life than worry about possible medical emergencies.

Other industrialized countries have shown the way. The United States must insure good, basic health care for all its citizens.

The League of Women Voters of Wisconsin can be reached at 256-0827, or visit its Web site at www.lwvwi.org. The league's Dane County office can be reached at 232-9447.

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