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[Draft] Establishing Universal Standard of Healthcare

PostPosted: Tue Jul 07, 2020 2:22 pm
by Kravonija
Hello everybody,
I hope I did this right because I never wrote one before so please rip this proposal to shreds so I can maybe make it better.


Changes: Defined terminology, and clarified II; removed provision mandating set hours within resolution (III), resolution allows WHA to impose set hours; clarified III; formatting changes.


Establishing Universal Standard of Healthcare
Category: Healthcare | Strength: Significant

Proposing Nation: Kravonija
Draft 07092020-1

The General Assembly,

Knowing that members and non members of the World Assembly maintain a standard of care appropriate to their nation and region.

Concerned that the standard of care may differ between nations in the following ways;

Terminology.
Diagnostic and Treatment.
Clinical Practice.

Such variances decrease the quality of care from a lack of continuity in the medical field resulting in preventable further injury or death.

Believing that a single, universal standard would resolve this situation,

Noting that the purpose is not to establish universal healthcare but to define a common language within the medical field.

Convinced that the World Health Authority (“WHA”) is suited to establish and enforce health standards as per GAR#31.

Seeking to implement a universal standard of healthcare (“universal standard”) with practical and national sovereignty concerns:

I. Requires the WHA to establish a council of expert medical professionals to review medical publications before approving it for use as a universal standard.

II. Requires Medical terminology to have Latin origin in cases of international collaboration.
a. Defining “Terminology” to be the body of terms used with a particular technical application in a subject of study or profession.
b. Clarifying that nations operating inside their borders, without transfer of care to another nation, shall be except from this clause.

III. Mandates a minimum clinical experience hours to be set for all types of medical professionals.
a. Establishes the minimum for licensure requirements, ensuring successful practice and gain of experience in the field.
b. Clarifying that individual nations may impose additional requirements for medical personnel.

IV. Requires the WHA to establish and maintain a central database of blood types and their similarities.

V. Requires the WHA to establish and maintain a comprehensive database of medications detailing.

a. Indications
b. Contraindications
c. Composition
d. Origin
e. Approved species
f. Mortality

VI. Mandates WHA to publish text detailing medical knowledge of WA members detailing the differences in:

a. Anatomy
b. Biology
c. Chemistry
d. Psychology
e. Gynaecology
f. Obstetrics
g. Paediatrics
h. Cardiology
i. Neurology

VII. Mandates WHA to create and maintain a central database of treatments from various member nations and indication of WHA approval.

VIII. Mandates the WHA to assist with training, education, and continuing of medical professionals to adhere to changes in the universal standard.

IX. Requires WHA created databases to be regularly maintained and accessible to member nations with the purpose of;

a. Education
b. Treatment
c. Research
d. Diagnosis

X. Encourages nations to share and contribute to research in order to improve the quality of care in the universal standard.

XI. Emphasises that Individual nations medical care system is not adversely impacted by the universal standard but imposes a set minimum of care, guaranteeing patient care is uniform, peer-reviewed, and approved throughout WA members.

XII. Guaranteeing that individual nations medical research is not restricted or penalised by the WHA in regards to contributing to the universal standard unless in instances of gross breach of an active General Assembly Resolution.

XIII. Requires WHA and it’s division and organisations to adhere to the universal standard

XIV. Preserves the right for individual nations to impose a higher standard of care.

XV. Requires that any nation choosing to impose a higher standard of care must do so without contradicting the Universal Standard and breaching active General Assembly Resolutions.





Establishing Universal Standard of Healthcare
Category: Healthcare | Strength: Significant

Proposing Nation: Kravonija
Draft: 07072020-3

The General Assembly,

Knowing that members and non members of the World Assembly maintain a standard of care appropriate to their nation and region.

Concerned that the standard of care may differ between nations in the following ways;
Terminology.
Diagnostic and Treatment.
Clinical Practice.

Such variances decrease the quality of care from a lack of continuity in the medical field resulting in preventable further injury or death.

Believing that a single, universal standard would resolve this situation,

Noting that the purpose is not to establish universal healthcare but to define a common language within the medical field.

Convinced that the World Health Authority (“WHA”) is suited to establish and enforce health standards as per GAR#31.

Seeking to implement a universal standard of healthcare (“universal standard”) with practical and national sovereignty concerns:

I. Requires the WHA to establish a council of expert medical professionals to review medical publications before approving it for use as a universal standard.

II. Requires Medical terminology to have English origin in cases of international collaboration.
a. clarifying that nations operating inside their borders, without transfer of care to another nation, shall be except from this clause.

III. Mandates the minimum clinical experience hours to be set.

IV. Requires the WHA to establish and maintain a central database of blood types and their similarities.

V. Requires the WHA to establish and maintain a comprehensive database of medications detailing.

a. Indications
b. Contraindications
c. Composition
d. Origin
e. Approved species
f. Mortality

VI. Mandates WHA to publish text detailing medical knowledge of WA members detailing the differences in:

a. Anatomy
b. Biology
c. Chemistry
d. Psychology
e. Gynaecology
f. Obstetrics
g. Paediatrics
h. Cardiology
i. Neurology

VII. Mandates WHA to create and maintain a central database of treatments from various member nations and indication of WHA approval.

VIII. Mandates the WHA to assist with training, education, and continuing of medical professionals to adhere to changes in the universal standard.

IX. Requires WHA created databases to be regularly maintained and accessible to member nations with the purpose of;
a. Education
b. Treatment
c. Research
d. Diagnosis

X. Encourages nations to share and contribute to research in order to improve the quality of care in the universal standard.

XI. Emphasises that Individual nations medical care system is not adversely impacted by the universal standard but imposes a set minimum of care, guaranteeing patient care is uniform, peer-reviewed, and approved throughout WA members.

XII. Guaranteeing that individual nations medical research is not restricted or penalised by the WHA in regards to contributing to the universal standard unless in instances of gross breach of an active General Assembly Resolution.

XIII. Requires WHA and it’s division and organisations to adhere to the universal standard

XIV. Preserves the right for individual nations to impose a higher standard of care.

XV. Requires that any nation choosing to impose a higher standard of care must do so without contradicting the Universal Standard and breaching active General Assembly Resolutions.


Establishing Universal Standard of Healthcare
Category: Healthcare | Strength: Significant

Proposing Nation: Kravonija
Draft: 07072020-2

The General Assembly,

Knowing that members and non members of the World Assembly maintain a standard of care appropriate to their nation and region.

Concerned that the standard of care may differ between nations in the following ways;
Terminology.
Diagnostic and Treatment.
Clinical Practice.

Such variances decrease the quality of care from a lack of continuity in the medical field resulting in preventable further injury or death.

Believing that a single, universal standard would resolve this situation,

Noting that the purpose is not to establish universal healthcare but to define a common language within the medical field.

Convinced that the World Health Authority (“WHA”) is suited to establish and enforce health standards as per GAR#31.

Seeking to implement a universal standard of healthcare (“universal standard”) with practical and national sovereignty concerns:

I. Requires the WHA to establish a council of expert medical professionals to review medical publications before approving it for use as a universal standard.

II. Requires Medical terminology will primarily have Greek and Latin origin.

III. Mandates the minimum clinical experience hours to be set.

IV. Requires the WHA to establish and maintain a central database of blood types and their similarities.

V. Requires the WHA to establish and maintain a comprehensive database of medications detailing.

a. Indications
b. Contraindications
c. Composition
d. Origin
e. Approved species
f. Mortality

VI. Mandates WHA to publish text detailing medical knowledge of WA members detailing the differences in:

a. Anatomy
b. Biology
c. Chemistry
d. Psychology
e. Gynaecology
f. Obstetrics
g. Paediatrics

VII. Mandates WHA to create and maintain a central database of treatments from various member nations and indication of WHA approval.

VIII. Mandates the WHA to assist with training, education, and continuing of medical professionals to adhere to changes in the universal standard.

IX. Requires WHA created databases to be freely accessed by member nations medical facilities and updated regularly.

X Requires WA members to adhere to the universal standard.

XI. Encourages nations to share and contribute to research in order to improve the quality of care in the universal standard.

XII. Emphasises that Individual nations medical care system is not adversely impacted by the universal standard but imposes a set minimum of care, guaranteeing patient care is uniform, peer-reviewed, and approved throughout WA members.

XIII. Guaranteeing that individual nations medical research is not restricted or penalised by the WHA in regards to contributing to the universal standard unless in instances of gross breach of an active General Assembly Resolution.

XIV. Requires WHA and it’s division and organisations to adhere to the universal standard

XV. Preserves the right for individual nations to impose a higher standard of care.

XVI. Requires that any nation choosing to impose a higher standard of care must do so without contradicting the Universal Standard.


Establishing Universal Standard of Healthcare
Category: Healthcare | Strength: Significant

Proposing Nation: Kravonija
Draft: 07072020-1

The General Assembly,

Knowing that members and non-members of the World Assembly maintain a standard of care appropriate to their nation and region.

Concerned that the standard of care may differ between nations in the following ways;

Terminology;
Diagnostic and Treatment;
Clinical Practice;

Such variances decrease the quality of care from a lack of continuity in the medical field resulting in preventable further injury or death.

Believing that a single, universal standard would resolve this situation,

Noting that the purpose is not to establish universal healthcare but to define a common language within the medical field.

Convinced that the World Health Authority (“WHA”) is suited to establish and enforce health standards as per GAR#31.

Seeking to implement a universal standard of healthcare (“universal standard”) with practical and national sovereignty concerns:

I. Requires the WHA to establish a council of expert medical professionals to review medical publications before approving it for use as a universal standard.
a. Requires the WHA to allow an appeal of rejected publications.
b. WHA Rejected publications will not be prohibited from practising within nations borders.
c. Preserves the right of the WHA to review and change the status of previous accepted publications
d. Preserves the right of individual nations to request a delay in review to present additional evidence relevant to the publication.

II. Requires the WHA to establish language for medical terminology that is uniform throughout.

III. Mandates the WHA to assist with training, education, and continuing of medical professionals to adhere to changes in the universal standard.

IV. Mandates the enactment of minimum clinical practice hours that adheres to the universal standard.

V. Requires WA members to adhere to the universal standard.

VI. Encourages nations to share and contribute to research to improve the quality of care in the universal standard.

VII. Emphasises that Individual nations medical care system is not adversely impacted by the universal standard but imposes a set minimum of care, guaranteeing patient care is uniform, peer-reviewed, and approved throughout WA members.

VIII. Guaranteeing that individual nations medical research is not restricted or penalised by the WHA in regards to contributing to the universal standard unless in instances of gross breach of an active General Assembly Resolution.
IX. Preserves the right for individual nations to impose a higher standard of care.

X. Requires that any nation choosing to impose a higher standard of care must do so without contradicting the Universal Standard.

PostPosted: Tue Jul 07, 2020 2:40 pm
by Grays Harbor
How does this have anything to do with healthcare? It reads like a micromanaged guide on what to do with a medical journal.

PostPosted: Tue Jul 07, 2020 3:38 pm
by Kravonija
Grays Harbor wrote:How does this have anything to do with healthcare? It reads like a micromanaged guide on what to do with a medical journal.


Absolutely right, spent way to much time in that section and was too focused on making it applicable to almost everyone.

Though, question should there be a set minimum for experience in the medical field by the WHA or should it be more up to the nations themselves

PostPosted: Tue Jul 07, 2020 3:43 pm
by Kenmoria
“I have a few comments. Firstly, clause II seems needlessly restrictive on languages that are completely etymologically unrelated to Greek or Latin; I would not expect a Japanese doctor to be forced to converse in a non-native tongue. Secondly, I’m unsure what clause III means - what are the minimum hours you are requiring?

Thirdly, clause X doesn’t really specify what the universal standard is, or which of the clauses you are referring to. I suggest clarifying that. Finally, clause XIV should have an ‘its’ without an apostrophe.”

(OOC: Aside from all that, welcome to the General Assembly.)

PostPosted: Tue Jul 07, 2020 3:59 pm
by Kravonija
Kenmoria wrote:“I have a few comments. Firstly, clause II seems needlessly restrictive on languages that are completely etymologically unrelated to Greek or Latin; I would not expect a Japanese doctor to be forced to converse in a non-native tongue. Secondly, I’m unsure what clause III means - what are the minimum hours you are requiring?

Thirdly, clause X doesn’t really specify what the universal standard is, or which of the clauses you are referring to. I suggest clarifying that. Finally, clause XIV should have an ‘its’ without an apostrophe.”

(OOC: Aside from all that, welcome to the General Assembly.)


Thank you for the feedback, it means a lot.

With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

With clause III I feel there should be some sort of minimum requirements across the board for medical professionals. That I would like a bit more input on. For instance maybe requiring doctors to have 20,000 clinical hours minimum in order to be qualified to hold a doctors license in the first place. Which would show they did practice and successfully gain experience in the field instead of just receive a degree or license from their nation.

In regards to X it probably is best to put it toward the end, i was hoping to make it so that the clauses within the document should be followed but it’s most likely redundant and I’ll for sure change it.

PostPosted: Tue Jul 07, 2020 4:02 pm
by Kenmoria
Kravonija wrote:With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

(OOC: I recommend against pursuing that course of action. It’s fully possible that, in a small nation with little contact with the outside world, there may be only a handful of doctors with the ability to fluently speak English. That means that the majority of practicing healthcare specialists could be locked out of their job due to language requirements.)

PostPosted: Tue Jul 07, 2020 4:03 pm
by Anurial
Kravonija wrote:
Kenmoria wrote:“I have a few comments. Firstly, clause II seems needlessly restrictive on languages that are completely etymologically unrelated to Greek or Latin; I would not expect a Japanese doctor to be forced to converse in a non-native tongue. Secondly, I’m unsure what clause III means - what are the minimum hours you are requiring?

Thirdly, clause X doesn’t really specify what the universal standard is, or which of the clauses you are referring to. I suggest clarifying that. Finally, clause XIV should have an ‘its’ without an apostrophe.”

(OOC: Aside from all that, welcome to the General Assembly.)


Thank you for the feedback, it means a lot.

With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

With clause III I feel there should be some sort of minimum requirements across the board for medical professionals. That I would like a bit more input on. For instance maybe requiring doctors to have 20,000 clinical hours minimum in order to be qualified to hold a doctors license in the first place. Which would show they did practice and successfully gain experience in the field instead of just receive a degree or license from their nation.

In regards to X it probably is best to put it toward the end, i was hoping to make it so that the clauses within the document should be followed but it’s most likely redundant and I’ll for sure change it.


Perhaps a change in the title of the resolution would be necessary then? It intially appears to be an attempt to establish a minimum standard of care from every healthcare system. However, the content appears more to be an attempt to standardise the way the international community deals with health issues.

PostPosted: Tue Jul 07, 2020 4:35 pm
by Kravonija
Anurial wrote:
Kravonija wrote:
Thank you for the feedback, it means a lot.

With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

With clause III I feel there should be some sort of minimum requirements across the board for medical professionals. That I would like a bit more input on. For instance maybe requiring doctors to have 20,000 clinical hours minimum in order to be qualified to hold a doctors license in the first place. Which would show they did practice and successfully gain experience in the field instead of just receive a degree or license from their nation.

In regards to X it probably is best to put it toward the end, i was hoping to make it so that the clauses within the document should be followed but it’s most likely redundant and I’ll for sure change it.


Perhaps a change in the title of the resolution would be necessary then? It intially appears to be an attempt to establish a minimum standard of care from every healthcare system. However, the content appears more to be an attempt to standardise the way the international community deals with health issues.


You actually bring up a good point. I feel that if you standardise the way the international community deals with medical issues and have a way to quickly and efficiently identify problems with such a diverse community it would in essence establish a minimum standard of care. Each nation and its medical services would have access to the same information as everyone else. Meaning a foreigner that might be a different species your quality of care hopefully wouldn’t degrade.

PostPosted: Tue Jul 07, 2020 10:17 pm
by Ardiveds
Kravonija wrote:
Thank you for the feedback, it means a lot.

With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

OOC: Correct me if I'm wrong but the rule about resolutions being in english is completely a OOC thing and the rule doesn't really apply to nations IC; that is, in universe, the different nations have no need to write resolutions in english.

This might create a rather disproportionate pressure on not only species with different anatomies but also different groups of humans who have evolved with different kinds of langauge. An individual from a nation whose primary language is a bunch of clicks will find it awfully hard to even comprehend english.

Also, why would an empire with advanced tranlations technology would even need a universal terminology. I just think pushing for universal medical terminology in English is a bit too arbitrary for a multiverse as varied as this.

PostPosted: Tue Jul 07, 2020 11:25 pm
by Kravonija
Ardiveds wrote:
Kravonija wrote:
Thank you for the feedback, it means a lot.

With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word. But I guess since there is a precedent of the WA requiring English for resolutions it would be worth pushing for English to be the common language for medical professionals.

OOC: Correct me if I'm wrong but the rule about resolutions being in english is completely a OOC thing and the rule doesn't really apply to nations IC; that is, in universe, the different nations have no need to write resolutions in english.

This might create a rather disproportionate pressure on not only species with different anatomies but also different groups of humans who have evolved with different kinds of langauge. An individual from a nation whose primary language is a bunch of clicks will find it awfully hard to even comprehend english.

Also, why would an empire with advanced tranlations technology would even need a universal terminology. I just think pushing for universal medical terminology in English is a bit too arbitrary for a multiverse as varied as this.


Brilliant points, I will have to look further into any past resolutions about language within the WA. Like you said, it may be a OCC rule and I will defiantly try to get to the bottom of that.

I agree that it may be difficult for nations within the WA that are different species with different anatomies to understand English and I do not wish to cause any stress and I’d be happy to look into an alternative that would meet someplace in the middle.

In regards to your question; the members of WA may or may not maintain advanced translation technologies. By establishing terminology that is universal allows nations to freely exchange knowledge that would further their nation. Also, by establishing a common language within the medical community allows for future resolutions presented in the general assembly to utilise the language and prevent resolutions being blocked by a nation saying they call something different or use a different system. In other words having a common language strengthens the international community by not, for a lack of a better word, leaving them out. Especially for a multiverse as varied as this.

PostPosted: Wed Jul 08, 2020 3:08 am
by Araraukar
Kravonija wrote:With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word.

OOC: RL doctors use Latin for that purpose. Just so you know.

there is a precedent of the WA requiring English for resolutions

Where?

it would be worth pushing for English to be the common language for medical professionals.

And how are they meant to talk with patients who don't understand English?

For instance maybe requiring doctors to have 20,000 clinical hours minimum in order to be qualified to hold a doctors license in the first place.

Random numbers are bad.

Which would show they did practice and successfully gain experience in the field instead of just receive a degree or license from their nation.

Instead of a random number, use this explanation.

Oh, and Out Of Character (us talking as RL humans who play the game called NationStates) is shorthanded as OOC, not as OCC.

PostPosted: Wed Jul 08, 2020 6:23 am
by Kravonija
Araraukar wrote:
Kravonija wrote:With clause II I am not attempting to impose a central language that medical professionals will be using but imposing a standard for terminology. Instead of having to take the time to translate different parts of the body or even medications they can use a more standard word.

OOC: RL doctors use Latin for that purpose. Just so you know.

there is a precedent of the WA requiring English for resolutions

Where?

it would be worth pushing for English to be the common language for medical professionals.

And how are they meant to talk with patients who don't understand English?

For instance maybe requiring doctors to have 20,000 clinical hours minimum in order to be qualified to hold a doctors license in the first place.

Random numbers are bad.

Which would show they did practice and successfully gain experience in the field instead of just receive a degree or license from their nation.

Instead of a random number, use this explanation.

Oh, and Out Of Character (us talking as RL humans who play the game called NationStates) is shorthanded as OOC, not as OCC.


To answer some of your comments:

I am fully aware of what the medical community uses in rl. In the previous draft I included Latin to be the main language for such terminology.

As I said before I am looking into it to see if I can find a resolution other than the rules set for posting.

Noted

ooc: And of course I made that mistake, it was pretty late I’m sorry.

PostPosted: Wed Jul 08, 2020 8:18 am
by Araraukar
Kravonija wrote:ooc: And of course I made that mistake, it was pretty late I’m sorry.

OOC: You don't have to keep apologizing. Everyone makes mistakes.

PostPosted: Thu Jul 09, 2020 8:28 am
by Kravonija
Changes: Defined terminology, and clarified II; removed provision mandating set hours within resolution (III), resolution allows WHA to impose set hours; clarified III; formatting changes.