Consensus Questions: LWVOK Health Care Study

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At the May 2019 meeting of the LWVOK Board of Trustees, options for the 2019-2021 study were presented. Although earlier planning had indicated that the corrections system would be the topic chosen, the Trustees chose health care for the focus of its 2019-2021 study. This choice was based on a straw poll of local Leagues. The LWVOK has no position on health care. It has positions on mental health and teenage pregnancy, but the LWVOK relies on the national (LWVUS) policies on health care for advocacy.

They have consolidated their research and are now asking league members to weigh in by answering the questions in this survey. Prior to answering the following consensus questions, please review the study matierals here:

https://my.lwv.org/sites/default/files/leagues/wysiwyg/%5Bcurrent-user%3Aog-user-node%3A1%3Atitle%5D/lwvok_health_care_study_materials.final_4.18.2020.pdf

For full details on the study and consensus process, please visit https://my.lwv.org/oklahoma/studies.

1. Of the seven suggestions for improving mental (behavioral)* health in Oklahoma from the 2002 LWVOK study, which are still relevant and should be mentioned in the 2021 health care position? Check the box for those statements that are still relevant. *

*The LWVOK will use the term behavioral health in the 2021 Health Care position to correspond to the LWVUS term adopted for mental health and substance use disorder.

Assessing the basic mental health needs of a variety of populations

Focusing on identification and prevention of mental illness

Increasing mental health funding

Monitoring the effectiveness of current mental health programs

Improving access to mental health services

Training personnel for delivery of mental health service

Stopping the diversion of mentally ill children and adults into the corrections system

None of these are still relevant and should be mentioned in the 2021 health care position.

All of these are still relevant and should be mentioned in the 2021 health care position.

Required

Additional Comments for Question 1

2. Of the five measures suggested to prevent teenage pregnancy mentioned in the 1989 LWVOK study, which should be affirmed in the new LWVOK position on health care. Check the box for those statements that are still relevant. *

Increasing opportunities to obtain good academic skills

Developing more training in work skills that teach good work habits and good attitudes toward work

Offering training in family life education and life planning with emphasis on the responsibilities of being sexually active, parenting and providing for the future

Providing access for all teens to health services, including contraceptives and counseling on the responsibilities of being sexually active

Identifying resources for adolescents to help instill self-respect and an appreciation of the own capabilities and talents

None of these are still relevant and should be mentioned in the 2021 health care position

All of these are still relevant and should be mentioned in the 2021 health care position

Required

Additional Comments for Question 2

3. Of the eight measures that the LWVUS proposes to reduce the cost of health insurance, which should be included in the LWVOK position on health care? Check all that should be affirmed. *

Reducing administrative costs

Regional planning for the allocation of personnel, facilities and equipment

Establishing maximum levels of public reimbursement to providers

Reforming malpractice

Using managed care

Reviewing treatment

Requiring mandatory second opinions before surgery or extensive treatment

Instituting consumer accountability through deductibles and copayments

None of these should be affirmed and mentioned in the 2021 health care position

All of these should be affirmed and mentioned in the 2021 health care position

Required

Additional Comments for Question 3

4. Of the five measures contained in the LWVUS proposal to ensure equitable health care for all, which should be affirmed in the 2021 LWVOK health care position? Check the box in front of all that should be affirmed. *

Allocating medical resources to underserved areas

Providing for the training of health care professionals in areas of greatest need

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

None of these should be affirmed and mentioned in the 2021 health care position

All of these should be affirmed and mentioned in the 2021 health care position

Required

Additional Comments for Question 4

5. Which of the measures that the LWVUS proposes with regard to behavioral health should be affirmed in the 2021 LWVOK health care position? Check the box before all that should be affirmed. *

Providing access for all people to affordable behavioral health care services and medications

Developing health care that is integrated with, and achieves parity with, physical health care

Ensuring early and affordable behavioral health care diagnosis and treatment for children and youth

Providing family-focused and community-based health care for children and adolescents

Ensuring that people with behavioral health challenges, including those who are chronically homeless, have access to safe and stable housing

Developing effective re-entry and follow-up planning for persons released from the behavioral health hospitalization and the criminal justice system

Establishing special courts, including mental health and drug courts, in all judicial districts, to provide needed treatment and to avoid inappropriate entry into the criminal justice system

Providing health education at all levels that integrates all aspects of social, emotional, and physical health and wellness

Increasing efforts to eliminate the stigmatization of behavioral health problems and care and to normalize such problems

None of these should be affirmed and mentioned in the 2021 health care position

All of these should be affirmed and mentioned in the 2021 health care position

Required

Additional Comments for Question 5

6. The study materials reveal that the U.S. health care system does not compare well to similar countries. How should this be handled in the new LWVOK position on health care? *

It should not be mentioned.

It should be mentioned, but no statistics given.

Our new position should mention our lack of competitiveness and recommend that the U.S. study other health care systems to see what they do better than we do.

Other (Describe in the Additional Comments for Question 6 section below)

Required

Additional Comments for Question 6

7. Oklahoma does not compare well with other states. How should this be handled in the new LWVOK position on health care? *

It should not be mentioned

It should be mentioned, but no statistics given

Our new position should mention how poorly we rate and recommend that Oklahoma study other states’ health care systems to see what they do better than we do

Other (Describe in the Additional Comments for Question 7 section below)

Required

Additional Comments for Question 7

8. The study materials make it clear that there is a lack of consistency in access to health care and health care outcomes throughout the state of Oklahoma. How should this be handled in the new LWVOK position on health care? *

It should not be mentioned

It should be mentioned, but no statistics given

Our new position should emphasize the inadequacy of Oklahoma’s health delivery system and insist that this situation be addressed

Other (Describe in the Additional Comments for Question 8 section below)

Required

Additional Comments for Question 8

9. To decrease maternal and infant mortality for the most at-risk families, the LWVOK supports: *

expanding Medicaid to more Oklahomans

providing incentives to increase diversity among the medical professionals in the state

licensing more nurse/midwives

creating more community-based health care delivery locations

providing health care and behavioral health services to mothers for one year postpartum regardless of the outcome of the pregnancy

enacting paid family and medical leave for all workers

None of the above options

All of the above options

Required

Additional Comments for Question 9

10. To continue to reduce the infant mortality rate in Oklahoma, the LWVOK supports: (Check the box in front of the statements to include in the 2021 LWVOK Health Care position.) *

increasing support for the Oklahoma Perinatal Quality Improvement Collaboration and their work in improving health care for mothers and infants

expanding efforts to prevent premature deliveries

home visitation for postpartum mothers and infants for the first year after delivery

expanding efforts to lower the number of teen pregnancies

increasing the number of women who have primary care providers

increasing the number of women who receive prenatal care in the first trimester

continuing to promote safe sleep measures, breastfeeding and the use of infant car seats

None of the above statements should be included in the 2021 LWVOK Health Care position

All of the above statements should be included in the 2021 LWVOK Health Care position

Required

Additional Comments for Question 10

11. To reduce maternal mortality in Oklahoma, the LWVOK supports: (Check the box in front of statements to include in the LWVOK 2021 position on health care.) *

increasing the number of Oklahomans with health insurance by expanding Medicaid coverage and more

continuing to support the work of the state Maternal Mortality Review Committee in compiling consistent data on maternal deaths and their causes

expanding Medicaid coverage for women one year postpartum

establishing treatment protocols for perinatal women to be used in all clinics and hospitals, and by all health care professionals

ensuring that all women have regular health care throughout their lives

screening perinatal mothers for depression a year after delivery

None of the above statements should be included in the 2021 LWVOK Health Care position

All of the above statements should be included in the 2021 LWVOK Health Care position

Required

Additional Comments for Question 11

12. Which of the factors mentioned in the section on behavioral health should be mentioned in the LWVOK position on health care? Check the box in front of the factors that should be included. You may add factors mentioned in the reading in the Additional Comments for Question 12 section if you wish. *

the U.S. ranking as the country with the highest incidence of mental illness

the percentage of people with mental illness whose conditions had gone untreated

the process of deinstitutionalization and its consequences

Oklahoma’s ranking in comparison to other states in the area of both mental illness and substance abuse.

funding for the treatment of mental illness

jails and prisons as appropriate places for the treatment of mental illness

schools’ ability to treat children with mental illness

None of the above factors should be included in the 2021 LWVOK Health Care position

All of the above factors should be included in the 2021 LWVOK Health Care position

Required

Additional Comments for Question 12

13. What should the new health care position say about the government’s role in ensuring that all Oklahoman’s have access to health insurance? *

Nothing

That Oklahomans should have at minimum the level of access of typical states

That all Oklahomans should have the level of access stipulated in the original ACA

That all Oklahomans should have the same level of access

Required

Additional Comments for Question 13

14. What should the new health care position say about Medicaid expansion for Oklahoma? Choose among the first three options or create your own option. *

Nothing

Oklahoma should expand Medicaid to those at 138% of the poverty level as specified in the ACA initially

Oklahoma Medicaid expansion should be studied further

Other

Required

Additional Comments for Question 14

15. What should the new health care position say about Oklahomans’ access to wellness, preventative, and routine primary health care? (Rank 1 to 4, with 4 being your most preferred response and 1 your least preferred.) *

Nothing

Access to primary health care should be as specified in the initial ACA

Access to primary health care should be available to all Oklahomans

Other (Describe in the Additional Comments for Question 8 section below)

Additional Comments for Question 15

16. Which of the factors mentioned in the section on improving health outcomes in Oklahoma should be mentioned in the LWVOK position on health care. Check the box in front of all factors that should be mentioned. You may add items from the reading in the Additional Comments for Question 16 section if you wish. *

the need for advanced primary care

the use of data analytics and artificial intelligence

the use of nurse practitioners and physician assistants to increase the cadre of health professionals

the degree to which Oklahoma is meeting or not meeting the health goals established by the Agency for Healthcare Research and Quality

the need for a greater emphasis on preventive care

None of the above factors should be included in the 2021 LWVOK Health Care position

All of the above factors should be included in the 2021 LWVOK Health Care position

Required

Additional Comments for Question 16

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