League Healthcare Position

League Healthcare Position

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“Impact on Issues,” LWV Official Policy Document


The League of Women Voters’ official policy document, Impact on Issues, lays out the League’s health care goals in broad terms.


This Toolkit provides materials for general context and specific strategies to promote the gold standard of health care reform: Single Payer, now also called “Expanded and Improved Medicare for All.” The term means the new program is modeled after Medicare, but it is "expanded" to cover all people, and "improved" because it will cover more than original Medicare and will cover all necessary medical services. Single Payer, Medicare for All (SP-M4A) isa system of privately-delivered health care financed through a public Universal Medical Trust Fund, much like the system the Canadians call “Medicare.”


●  Health care pages from Impact on Issues 2018-2020.The League’s “Statement of Position on Health Care “dates back to its announcement by the National Board in April 1993. It states that a basic level of quality health care at an affordable cost should be available to all U.S. residents. Such care includes: prevention of disease; health promotion and education; primary care (including prenatal and reproductive health); acute care; long-term care; and mental health care.


The statement clearly expresses that the League favors a national health insurance plan financed through general taxes in place of individual insurance premiums, commonly known as the “single-payer” approach, and further that the ability of a patient to pay for services should not be a consideration in the allocation of healthcare resources.Read text from Impact on Issues…


●  Commentary on potential confusions in the League’s Position as articulated in Impact on Issues




Since 1945 (under President Truman), LWV has been an official consultant organization to the U.S. United Nations Delegation supporting global UN social and economic initiatives. LWV-UN Observers sit at public meetings of the UN Economic and Social Council and give input to the Delegation. Annually on December 12, the Observers encourage local Leagues to celebrate Universal Health Coverage Day and advocate in concert with the UN on behalf of millions of people around the world without access to adequate health care. A central member of the HCR4US Network, Michelle Dorsey M.D., of Metro-Phoenix has been an Observer since 2018. Read more about Michelle and other LWVUS UN observers...




●  2010 Resolution passed by delegates at the LWV National Convention calling upon the LWVUS leadership to advocate strongly for bills that legislate for Improved Medicare for All.Read the text of the resolution…


●  2015-2016 Position broadened to include full access to behavioral health care.


●  In 2015,LWV of Colorado finished an official study on Mental Health Care in Colorado and petitioned the state League to include access to Quality Behavioral Health Care in their Health Care position statementTheir 45-page study includes: need for services; Colorado’s current service delivery system; stigma and barriers to effective service delivery; and new and promising practices.


●  In 2016, LWV-CO presented the state’s new position to the national League, which adopted it “by concurrence” at the national convention.

To access the LWV-CO study materials and the Behavioral Health Position, download from the LWV-US “clearing house”https://sites.google.com/a/leagueofwomenvoters.org/clearinghouse/social-policy/mental-health-care/lwv-colorado-an-overview-of-colorados-behavioral-health-system


 2018 LWV National Convention (Chicago) Health Care CaucusVideo of the 2018 LWV national convention Healthcare Caucus.Speaker: Claudia Fegan, MD, PNHP National Coordinator


● 2019 Medicare for All Resolutions at State Conventions


●  2020 LWV-NY study to change Health Care position in Impacts on Issues to eliminate cost sharing at point of service for care

  • Read the text of the NY League'sWhite Paper proposing revision.
  • Rebuttal of foundational study in favor of cost-sharing (RAND-HIE). This much-cited long-term study (from 1974 to 1982), purported to show that having “skin in the game” reduces utilization of medical services with no decrease in health outcomes. The rebuttal shows flaws in the original study and indicates that co-pays and other out-of-pocket costs lead to worse health outcomes, especially for chronic diseases.Read the rebuttal document…”
  • 2020: Position Statement LWV-WA


Health Care Reform for the U.S. (HCR4US) Google Group/Network


●  Overview and How to Join

●  Sign up now.Use the HCR4US Contact form to join the network.Link to sign-up webform…

●  History of HCR4US from 2005 to the present

●  Link for Minutes of monthly calls from Dec 2018

●  Directory ofStates in our network: Find fellow advocates in your state or add your state to our network:

Alaska, Arizona, California, Colorado, Florida, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Montana, North Carolina, New Mexico, New York, Oregon, Pennsylvania, Texas, Vermont, Washington




Visit the “Get Involved” page with suggestions for individuals and local Leagues.