Wednesday, February 13, 2013

Green Party Solutions: #SinglePayer / Improved #MedicareForAll


Green New Deal: Improved Medicare-For-All

Green Party Platform: Single-Payer

The Green Party supports single-payer universal health care and preventive care for all. We believe that health care is a right, not a privilege.

Our current health care system lets tens of thousands of people die each year by excluding them from adequate care, while its exorbitant costs are crippling our economy. The United States is the only industrialized nation in the world without a national health care system.

Under a universal, comprehensive, national single-payer health care system, the administrative waste of private insurance corporations would be redirected to patient care. If the United States were to shift to a system of universal coverage and a single payer plan, as in Canada and many European countries, the savings in administrative costs would be more than enough to offset the cost of additional care. Expenses for businesses currently providing coverage would be reduced, while state and local governments would pay less because they would receive reimbursement for services provided to the previously unin­sured, and because public programs would cease to be the "dumping ground" for high-risk patients and those rejected by health maintenance organizations (HMOs) when they become disabled and unemployed. In addition, people would gain the peace of mind in knowing that they have health care they need. No longer would people have to worry about the prospect of financial ruin if they become seriously ill, are laid off their jobs, or are injured in an accident.

Greens support a wide-range of health care services, not just traditional medicine which too often emphasizes "a medical arms race" that relies upon high-tech intervention, surgical techniques and costly pharmaceuticals. Chronic conditions are often best cured by alternative medicine. We support the teaching, funding and practice of holistic health approaches and as appropriate, the use of complementary and alternative therapies such as herbal medicines, homeopathy, naturopathy, traditional Chinese medicine and other healing approaches.

Greens recognize that our own health is also intimately tied to the health of our communities and environment. To improve our own health, we must improve the quality of our air, water and food and the health of our workplaces, homes and schools.

The Green Party unequivocally supports a woman's right to reproductive choice, no matter her marital status or age, and that contraception and safe, legal abortion procedures be available on demand and be included in all health insurance coverage in the U.S., as well as free of charge in any state where a woman's income falls below the poverty level. [See section A.1. Women's Rights in this chapter]

We recommend the following actions:

1. Single-Payer Health Care

Enact a universal, comprehensive, national single-payer health plan that will provide the following with no increase in cost:

a. A publicly funded health care insurance program, administered at the state and local levels, with comprehensive lifetime benefits, including dental, vision, mental health care, substance abuse treatment, medication coverage, and hospice and long-term care;

b. Participation of all licensed and/or certified health pro­viders, subject to standards of practice in their field, with the freedom of patients to choose the type of health care provider from a wide range of health care choices, and with decision-making in the hands of patients and their health providers, not insurance companies;

c. Portability of coverage regardless of geographical location or employment;

d. Cost controls via streamlined administration, national fee schedules, bulk purchases of drugs and medical equipment, coordination of capital expenditures and publicly negotiated prices of medications;

e. Primary and preventive care as priorities, including wellness education about diet, nutrition and exercise; Holistic health including homeopathy, naturopathic medicine, traditional Chinese medicine, Ayurvedic medicine, herbalism and medical marijuana;

f. More comprehensive services for those who have special needs, including the mentally ill, the differently abled and those who are terminally ill;

g. A mental health care system that safeguards human dignity, respects individual autonomy, and protects informed consent;

h. Greatly reduced paperwork for both patients and pro­viders;

i. Fair and full reimbursement to providers for their services;

j. Hospitals that can afford safe and adequate staffing levels of registered nurses;

k. Establishment of national, state, and local health policy boards consisting of health consumers and providers to oversee and evaluate the performance of the system, ensure access to care, and help determine research priorities; and

l. Establishment of a National Health Trust Fund that would channel all current Federal payments for health care programs directly into the Fund, in addition to employees' health premium payments.

2. AIDS / HIV

The Green Party calls for comprehensive, humane, and competent care of all people with AIDS/HIV.

An all-out campaign must be waged against AIDS/ HIV and other blood-borne diseases such as hepatitis. The AIDS epidemic has not been adequately addressed at the local, state, federal, or international levels. All people in all countries, including those with AIDS/HIV, have a right to medical care, protection from discrimination, and confidentiality.

Drug corporations have a strong profit motivation to make this disease a manageable one (like diabetes) with guaranteed sales of very expensive drugs, in the billions of dollars every year. Drug companies have not emphasized research that targets a cure. While new drugs have dramatically saved lives, many have side effects so debilitating that the quality of life is poor, if not intolerable during the extended lifetime of the patient. But even these need to be produced generically to stop the devastation resulting from corporate refusal to provide these drugs to the millions dying throughout the world who cannot afford these basic lifesaving drugs. Drug researchers should have a cure for AIDS as their ultimate goal.

We recommend the following actions:

a. Increased funding for AIDS education and patient care.

b. Increased funding for comprehensive sex education that includes AIDS education.

c. Increased funding for research focusing on a cure, methods of prevention, and on bolstering the immune system.

d. Improved technology, facilities, laboratories, researchers, staff and personnel to cure AIDS/HIV. A "Manhattan Project" for a cure is required.

e. Complete sharing of information among researchers, funding agencies (including corporations), and the public on AIDS/HIV before awarding the next research grant.


f. More research into better methods of prevention of HIV infection. While we support condom use, better condoms are also required. We support more vaccine research as well as research on prevention methods such as microbicides. People must be provided the means and support to protect themselves from all sexually transmitted diseases.

g. Equal access to AIDS education, treatment and medications for all affected. Accordingly, funding and accountability should be increased.

h. Allowing all prisoners affected with AIDS/HIV in all countries to have the same access as free citizens to education, treatment, preventive measures (including condom use), and medical care.

i. A uniform international definition of AIDS.

j. Protecting the confidentiality of all people diagnosed with AIDS/HIV or tested for HIV.

k. More careful and timely approval of effective AIDS drugs by the FDA.

l. Production of affordable and available versions of patented medicines in all countries.

m. Targeting the young for age-appropriate education about AIDS/HIV and appropriate methods of prevention. We support sex education and the distribution of condoms in schools.

n. Prevention awareness and access to condoms to prevent the spread of AIDS. We condemn HIV-related discrimination.

o. Make drug treatment and other programs available for all addicts who seek help.

p. Expand clinical trials for treatments and vaccines.

q. Speed-up the FDA drug approval process.

r. Providing housing for homeless and poor people with AIDS/HIV.

s. Providing treatment for homeless people with AIDS/ HIV.

t. Support for needle exchange programs and for programs to help drug addicts.

u. No mandatory screening for AIDS/HIV; anonymous screening must be available.

v. Lifting the ban prohibiting HIV positive people from entering the U.S. as visitors or as immigrants.