Mid-Valley Health Care Advocates works to establish a publicly funded, equitable, comprehensive, affordable health care system for all people in Oregon (and eventually all across the U.S.).  An affiliate member of Health Care for All - Oregon, MVHCA is a 501(c)(3) non-profit organization. Based in Corvallis, MVHCA currently
includes more than 2000 advocates in the mid-valley. 

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The Commonwealth Fund reports: U.S. Women More Likely to Die in Pregnancy and Childbirth and Skip Care Because of Costs

Dec. 19, 2018—A new Commonwealth Fund report out today contains troubling news about the state of women's health and health care in the United States, with many of the problems linked to issues of affordability.

Compared to those in 10 other high-income nations, women in the U.S. have the highest death rates from complications during pregnancy and childbirth — 14 deaths per 100,000 live births, compared to just four in Sweden. The report also finds U.S. women to be more likely to give birth via caesarean section, even though C-sections are generally not recommended for most mothers.

Women in the U.S. struggle to afford health care relative to their peers. One in four U.S. women spend $2,000 or more out of pocket for health care, compared with fewer than 11 percent of women in most other wealthy nations. But there was good news: U.S. women have generally better access to specialty care, and those over age 50 have among the highest breast cancer screening rates and lowest mortality rates for the disease.

The report finds that the U.S. has much to gain from studying the health systems in other countries, where coverage begins at birth, maternal care is often free at the point of delivery, and investments in primary care and social services early on help reduce the need for medical care. For the full report, click here.

Health Care in the United States: A Right or a Privilege?

The United States is about to embark on a great challenge: how to modify the current system of providing health care coverage for its citizens. However, the fundamental underlying question remains unanswered and was rarely mentioned during the past 8 years—Is health care coverage a basic right or a privilege (regardless of how that coverage is provided or who provides it)? Until that question is debated and answered, it may not be possible to reach consensus on the ultimate goal of further health care reform. Without agreeing to the goal, measuring success will be nearly impossible. Read the full JAMA Network editorial here.

Every fight over the Affordable Care Act is a reminder of the bigger truth about the U.S. health care system: It's really a patchwork, not a system, because we never decided what our priorities were. Here's a look at how it developed and why it's not the kind of health care safety net other countries have.