IV

103D CONGRESS

1ST SESSION H. CON. RES. 25

Expressing the sense of the Congress that access to basic health care services

is a fundamental human right.

IN THE HOUSE OF REPRESENTATIVES

JANUARY 26, 1993

Mr. PASTOR submitted the following concurrent resolution; which was referred

jointly to the Committees on Energy and Commerce and Ways and Means

CONCURRENT RESOLUTION

Expressing the sense of the Congress that access to basic

health care services is a fundamental human right.

Whereas the assurance of adequate health care is essential to

the general welfare and to the Nation’s security,

strength, productivity, wealth, and social order;

Whereas approximately 35,000,000 Americans have no insurance coverage for health care services, an additional

60,000,000 are underinsured, millions more are in jeopardy of losing their health insurance if they become ill

and cannot work or otherwise lose their jobs, and many

who have insurance find that necessary services are not

covered;

Whereas the poor, minorities, individuals in rural communities, and the disabled have long been inadequately

served by the health care system and encounter barriers
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to access to basic health care services that exceed those

faced by the general population;

Whereas the lack of access to basic health care services results in underutilization of preventive health care, the occurrence of preventable disease, and the eventual need for

more costly curative care;

Whereas the $800,000,000,000 annual national expenditure

on health care is an excessive burden on families and

businesses, and health care costs are continuing to rise;

Whereas the present health care system in the United States

has failed to deliver at least a basic level of health care

services to all individuals who are in need of such

services;

Whereas recognition of access to health services as a basic

human right is already contained in the United Nations

Universal Declaration of Human Rights and the International Covenant on Economic, Social and Cultural

Rights, a covenant to which 118 countries have agreed to

be bound but that the United States has not yet signed;

Whereas declarations and recognition of rights have served to

distinguish our Nation’s highest priorities, such as freedom of speech and the right to a fair trial, and have provided for recourse in cases in which these rights are

abridged;

Whereas recognition of an ethical obligation by society to ensure equitable access to basic health care services for all

was made in 1983 by the President’s Commission for the

Study of Ethical Problems in Medicine and Biomedical

and Behavior Research;

Whereas the Commission’s report, Securing Access to Health

Care, concluded that the ultimate responsibility for en-
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suring that such obligation is met rests with the Federal

Government, and that access to basic health care services

requires that all citizens be able to secure an adequate

level of care without excessive burdens;

Whereas many other industrialized countries provide universal access to health care and spend substantially less to

do so per person than is spent under the current health

care system of the United States;

Whereas it is possible to identify a universal standard of

basic health care services and to achieve it as a matter

of right for the people of the United States; and

Whereas the determination of this standard should be developed on the basis of substantial public participation,

should be revised as new services become available, and

should make necessary health care services available to

all: Now, therefore, be it

1 Resolved by the House of Representatives (the Senate

2 concurring), That it is the sense of the Congress that—

3 (1) access to basic health care services is a fun4 damental human right;

5 (2) all legislative proposals by the President

6 and Congress concerning national health care reform

7 and any initiatives to improve the delivery of health

8 care should be based upon recognition of this fun9 damental right; and

10 (3) legislative proposals should be specifically

11 developed which make policy changes necessary to

12 protect and guarantee this fundamental right, in-
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1 cluding the development of comprehensive and cost2 effective strategies for delivery of primary and pre3 ventive health care, the determination of a universal

4 standard of basic health care services, the reform of

5 public and private sector health care financing, and

6 the determination of priorities in the health care

7 sector.

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