The position is based on and supplements the national position which advocates that all U.S. residents should have access to a basic level of health care, supported by public funding and administration.
It is the responsibility of the state to regulate health care facilities and ancillary facilities, to license health care providers, and in other ways to protect the health of Indiana residents. This role is mainly the responsibility of the Department of Health, with other state offices and bureaus and local health departments having a regulatory and/or enforcement role. Protection of the health of Indiana’s residents requires that the state establish, maintain and enforce adequate standards for health care agencies and workers.
Coordination of care is essential for those receiving both short-and long-term care. It requires identifying and assessing need, determining a plan for delivery of services, advocating for those in need, and reassessing service delivery over time.
Certain services for daily living and general health maintenance can be provided in the home and community by family caregivers and professionals. When supported by public funding, these services should be at least as cost-effective as those in residential institutions, and of comparable quality.
Governmental and non-governmental funding of programs to promote healthful lifestyles is to be encouraged, but the state should act where adequate local programs do not exist.
Hospitals should not make up shortfalls from Medicare and Medicaid by shifting costs to commercially insured and paying patients. This burden should be spread among all taxpayers until a single payer system is adopted.
The state should have a process for allocating services to underserved areas and should ensure a mechanism for local input.
Through comprehensive programs and cooperation, law enforcement agencies and the judicial system must seek to eliminate the manufacture, distribution and use of illegal substances. The effort should include the pooling of information and resources, prevention and intervention strategies, and education.
Related health care and social services should be available to all who suffer the effects of substance abuse.
The effort can only succeed through constant cooperation among the involved public agencies and with non-governmental organizations offering support.