[Draft] State Health Sevice

[Chestaan]

UNDERSTANDING that access to medical care is a fundamental human right.

REALISING that many citizens are not provided with an adequate health care service for various reasons.

FURTHER REALISING that private health care is not an option for many families and individuals who are unable to afford health insurance.

STRIVING to rectify this situation and providing healthcare to all.

The World Assembly mandates that:

1.Each individual state shall be made responsible for the health care of those who are unable to afford private healthcare.

2.An individual or family is deemed to be unable to afford private healthcare if the said person/family has a total annual income of less than or equal to 3/4 of the average national wage.

3.The state health service shall perform all major medical operations for those who are deemed acceptable according to point 2. as well any other hospital visits that are considered necessary by health care professionals. All medication and necessary visits to medical professionals shall also be included as well as two check-ups per person per year.

4.The state must also provide for any psychiatric services that are required by those deemed acceptable under point 2. including counselling sessions. Basic dental care shall also be provided for.

5.Each individual nation must provide for all those who it is responsible for in a n adequate manner. This includes the quality of the service as well as ensuring that no person is left waiting for more than 6 months for a major operations.

6.A state health service shall be set up in all member nations in order to fulfill the above mentioned obligations and to oversee the building of hospitals, hiring of staff etc. One year shall be provided to allow nations to fully set up this organisation.

7.A World Assembly Health Commission shall be set up in order to ensure that member states are abiding by this legislation and that the quality of service provided is adequate.

[Grays Harbor]

here we go again.

[Moronist Decisions]

Covered by Quality in Health Services, thanks.

[Connopolis]

here we go again.

I find it grotesque that you oppose the ideals behind this proposal on the premise of national sovereignty (effectively, similar to those of GAR#97), yet, at one point, were an undying proponent of creating a layer of WA beauracracy, the purpose of which being to sell postage stamps.

Yours in laughter over some ambassadors predictability,

[Grays Harbor]

here we go again.

I find it grotesque that you oppose the ideals behind this proposal on the premise of national sovereignty (effectively, similar to those of GAR#97), yet, at one point, were an undying proponent of creating a layer of WA beauracracy, the purpose of which being to sell postage stamps.

Yours in laughter over some ambassadors predictability,

We would care if we valued your opinion. Fortunately, we do not.

We are opposed to this because it is mostly already covered in QIHS, and because we find the idea of mandated "national health services" anathema. So sorry we do not believe in throwing money around with wild abandon. So sorry you disagree with postal services. So sorry we are beneath your gaze because we believe in the liberties of independent nations.

Now, we have more important things to do. I hear there is a lively darts match in the ambassadors lounge, which should be much more interesting than "National Health Services Mandate, Take 127".

Bye now.

[Glenn]

UNDERSTANDING that access to medical care is a fundamental human right.

REALISING that many citizens are not provided with an adequate health care service for various reasons.

FURTHER REALISING that private health care is not an option for many families and individuals who are unable to afford health insurance.

STRIVING to rectify this situation and providing healthcare to all.

The World Assembly mandates that:

1.Each individual state shall be made responsible for the health care of those who are unable to afford private healthcare.

2.An individual or family is deemed to be unable to afford private healthcare if the said person/family has a total annual income of less than or equal to 3/4 of the average national wage.

3.The state health service shall perform all major medical operations for those who are deemed acceptable according to point 2. as well any other hospital visits that are considered necessary by health care professionals. All medication and necessary visits to medical professionals shall also be included as well as two check-ups per person per year.

4.The state must also provide for any psychiatric services that are required by those deemed acceptable under point 2. including counselling sessions. Basic dental care shall also be provided for.

5.Each individual nation must provide for all those who it is responsible for in a n adequate manner. This includes the quality of the service as well as ensuring that no person is left waiting for more than 6 months for a major operations.

6.A state health service shall be set up in all member nations in order to fulfill the above mentioned obligations and to oversee the building of hospitals, hiring of staff etc. One year shall be provided to allow nations to fully set up this organisation.

7.A World Assembly Health Commission shall be set up in order to ensure that member states are abiding by this legislation and that the quality of service provided is adequate.

1. So are we going to expect poor and undeveloped nations to implement this act (and nations who have hardly any doctors)? What are they going to do, call out holistic healers to carry out the provisions of this act?

2. So six months and people HAVE to have an operation. What if there are no parts (livers, kidneys) or enough parts to do the operation? Should we call in the holistic healer again as a substitute?

3. What if the nation just happens to actually believe in holistic healing and stuff like psychiatric care is not considered a need for them?

I oppose this act due to it's immense Western bias and inability to actually work. I am all for giving people universal coverage, but we cannot expect 3rd world countries to be able to do the same things industrialized nations can do.

[Southpaw]

While this is becoming a basic human right, I am not sure the entire world can afford it for everybody. There has to be some expense for each individual that receives it. For example, you have to tax all of the people receiving it or have people pay for it out of pocket somehow. All people need to get short term medical insurance somehow, but we need to have all people chipping in then too in my humble opinion.

[The Solarian Isles]

We feel that this is indeed a basic right, and this proposal has our approval.

To address the issue of poorer nations, perhaps the WA could set up an aid program to assist nations who can't afford to fund it on their own?

His Radiance Cleric Joran Kell

[Chestaan]

Hi everyone, sorry it took me so long to get back. I'm just wondering whether Quality in Health Services is too close to this Act? I don't want to submit this proposal only for the mods to block it.

[Chestaan]

While this is becoming a basic human right, I am not sure the entire world can afford it for everybody. There has to be some expense for each individual that receives. for example, you have to tax all of the people receiving it or have people pay for it out of pocket somehow. All people need to get covered somehow, but we need to have all people chipping in then too in my humble opinion.

How about if I added a health tax to the proposal? Would that help make the legislation more acceptable? I'm very grateful for your feedback.

[Bears Armed]

Hi everyone, sorry it took me so long to get back. I'm just wondering whether Quality in Health Services is too close to this Act? I don't want to submit this proposal only for the mods to block it.

It probably is too similar, yes. Here's QiHS _

World Assembly Resolution #97

Quality in Health Services
A resolution to reduce income inequality and increase basic welfare.

Category: Social Justice
Strength: Significant
Proposed by: Sionis Prioratus

Description: RECOGNIZING health is a duty of every nation, aiming at universal & equal access to health services (promotion, protection & recovery);

FURTHER RECOGNIZING health services rank among the ones which have the highest public relevance;

AFFIRMING it is necessary, under the law, to have government regulation & supervision, to be carried out directly or through third parties, and the duty of the World Health Authority (WHA) in assisting such actions if, and only if, so asked by any nation;

IT IS THEREFORE ESTABLISHED:

1) The health services shall constitute separate systems in each & every nation, organized according to the following guidelines:

a) Full health services coverage;
b) Community participation;
c) Cooperation between nations that are not at a declared state of war amongst themselves.

2) The health system shall be financed by national budgets or the budgets of assigned political divisions, as well as other existing private voluntary sources. The WHA may also fund at the request of any nation, but never before a thorough audit of the health system, ensuring transparency & honesty. The WHA shall deny funding to any nation if there is:

a) Reasonable suspicion of occurrence of deliberate diversion of money from the health budget towards other uses; the WHA shall never cover deliberate budgetary shortages;
b) Reasonable evidence a nation’s economy is strong enough as to not actually need external help.

3) World Assembly members are strongly urged to provide voluntary health personnel & donated medical supplies to nations that ask for such help, due to issues such as, but not limited to, extreme poverty or disasters;

4) Nations, or any assigned political divisions, shall:

a) Provide health personnel & supplies to health services at least once every budget cycle, aiming at the gradual reduction of internal health disparities;
b) Establish the standards of review, evaluation & control of allocation of health personnel & supplies;
c) The WHA shall assist the shaping of said standards if, and only if, so asked by any nation.

5) Nations or any assigned political divisions shall retain full freedom to:

a) Allow or not, partial to full participation of private enterprise in their health systems;
b) Provide assistance only to those who cannot afford to pay for their own care, if compelling practical purposes for such a policy can be proven beyond any doubt.

6) The health system of a nation, or any assigned political divisions, is responsible for:

a) Helping the training of health personnel;
b) Participating in the effort of eradication of endemic diseases;
c) Participating in policy formulation & implementation of basic sanitation projects.

Votes For: 3,517
Votes Against: 1,903

Implemented Sun May 30 2010

[Halsberg]

It probably is too similar, yes. Here's QiHS _

I would agree. Maybe your proposed addition of a Health Tax would differentiate the two resolutions enough, no guarantees though.

[Mallorea and Riva]

It probably is too similar, yes. Here's QiHS _

I would agree. Maybe your proposed addition of a Health Tax would differentiate the two resolutions enough, no guarantees though.

Nope. Duplication is duplication, and amendments are amendments. The two must be distinct from each other and not dependent upon each other.

Opposed even if QIHS was not in place.

[Alqania]

I would agree. Maybe your proposed addition of a Health Tax would differentiate the two resolutions enough, no guarantees though.

Nope. Duplication is duplication, and amendments are amendments. The two must be distinct from each other and not dependent upon each other.

Opposed even if QIHS was not in place.

"Not to mention that a WA mandated domestic tax would be in contradiction of the General Fund", Lord Raekevik added. "Clause 8 if I remember correctly."