New York State Concurrence Page (2026)
INTRODUCING A PROJECT TO CLARIFY THE WORDING OF THE LWVUS PRIVATIZATION POSITION. The LWV of Port Washington-Manhasset (NY), along with the New York State and Vermont State Leagues, asks other state and local Leagues to support consideration of a Concurrence at the LWV National Convention 2026 that would update the current LWV National position of Privatization (2012).
The Privatization Update is a shortened version of the Vermont Privatization position (2023); it uses language from the Vermont text but focuses on making four elements of the national position more EXPLICIT so state and local Leagues can advocate more effectively, confident that they are aligned with national League policy in addressing a distressing trend, that is, the increased siphoning of public funding (taxes) into corporate profits and away from critical services aimed “to preserve the common good, to protect national or local security or to meet the needs of the most vulnerable members of society.”
PLEASE HELP US! Here’s What, Why and How!
Table of Contents
- Definitions
- White paper addressing the clarifications provided by the NY/ VT update
- Longer statement of rationale in The NY Slide Deck
- Why concur with NY instead of Vermont?
- Essential Documents
- The current LWVUS privatization position
- Proposed Concurrence Statement (Port Washington Manhasset, PWM)
- Relationship of PWM position (2025) with Vermont (2023)
- HOW TO HELP: Two Ways your League can Support this Concurrence
- Steps to support putting the discussion of the proposed concurrence in the convention program
- Steps for a local League to take to concur with the NY position (for itself)
- What new advocacy will this Privatization position update permit?
- What new advocacy have Vermont and NY Leagues undertaken thanks to their new positions?
- What local issues could your state address if you concur with the updated privatization position?
- What would be the added benefit of a concurrence at the national level?
- Pros/Cons of Proposed Concurrence
- State and Local Leagues that supported the 2024 version of the proposed Concurrence
- Learn More: [from NY] Context and Studies
- Concurrence VIDEOS –>
- New York
- Vermont (archived)
- Frequently Asked Questions FAQs
- 2024 Vermont Privatization Concurrence materials
Need to reach us? Use our “email hotline”: LWV.Update4Convention@gmail.com
Definitions
What is a concurrence? You can check what the League means by “Concurrence” at this Glossary adapted from the 2009 “League Basics”, or with our elaboration of the terms and how they affect our advocacy here.
Public Good; Private Good; Fiduciary Duty; Health Care Middlemen; Current De-Privatizing at the state level; private equity;
How to Help
- Bring up the issue for consideration by your League during 2026 Program Planning
- Advocate for your local League to make Health Care as a Public Good a program priority
- Encourage your state League to make Health Care as a Public Good a program priority
- Prepare your local League delegates to vote at Convention FOR the clarification of the LWVUS position on Privatization by concurrence with the New York position.
- Use our local Concurrence “kit” to help your local League go a step further: ADOPT THE NY POSITION ON PRIVATIZATION BY CONCURRENCE
- THEN USE THE NEW POSITION FOR RELEVANT ADVOCACY IN YOUR LOCAL AREA
You may recognize these principles from the 2024 grassroots Program Planning campaign and proposal for LWVUS to update its Privatization Position by ADDing provisions from the 2023 Vermont position to by Concurrence. “
More on WHY: Like the several local Leagues of Women Voters and the state League of New York who have adopted this update by concurrence, we believe that the national position on privatization is not sufficient to support the advocacy needed to protect our health care resources. We see two major issues preventing us from achieving League priorities:
- The LWVUS position does not include health care as a public good, even though the LWVUS Meeting Basic Human Needs position includes health care as a basic human need for which government should bear the financial responsibility for those unable to afford it themselves,
- The LWVUS position includes clear criteria for choosing whether to privatize a public good and states that “a provision and process to ensure the services or assets will be returned to the government if a contractor fails to perform”–but the position did not address what should be done if a private entity providing a public good failed to meet those criteria.
- THE NY POSITION PROVIDES FOR THAT PROCESS EXPLICITLY.
Further, the national position was created in 2012. Much has changed and much has been learned since then. So we felt the Vermont study (2024) of privatization and their new state position provided a better basis to supplement the national position.
Questions motivating our study:
- Is Health Care a Public Good? Is it a Private Good?
- If for-profit corporations and private equity firms do not deliver on promises to provide equivalent quality health care at lower cost than publicly-funded programs, is it reasonable to continue contracting with them?
Note that, as with the LWVUS position on Privatization, the Vermont study group and the concurring NY Leagues had in mind that the principles governing privatization also applied in other domains, for example, privatized jails, private schools that used public money, and other.
Why concur with the New York position over the Vermont position
After months of study and a consensus meeting, the League of Women Voters of Vermont Board of Directors approved a new position embodying these responses to their study questions:
- Yes, Health Care fits several definitions of a Public Good.
- No, free market rules do not support equitable provision of health care to all residents nor to all locations.
- No, it is not reasonable to continue contracting with for-profit corporations and private equity firms who fail to fulfill the terms of their contracts for delivering universal health care. As it says in the LWVUS position, provision and process should be set out at the time of the contract for returning the assets to the public. However, the LWVUS position is not explicit as to what should happen when corporations do not deliver on the terms of their contracts.
Vermont’s new state position allows them to not just educate but also advocate at the local and state levels. However, they state, “We still cannot adequately address the privatization of Medicare because it is a federal program, and advocacy at the national level requires a national position.” In addition, the current position is ambiguous on whether the League will support the current PNHP campaign to “Remove the (private) middlemen from Medicaid.” <link>
For this reason, and also to allow League members across the country to benefit from the work of our study, New York has streamlined the Vermont position and is now proposing a more targeted update to the national privatization position by adding the language of their state position via concurrence, and we are asking for your help in proposing it.
Proposed Concurrence Statement (and Current LWVUS Position)
- New York Concurrence Statement (footnote explains the tiny differences from the adopted position)
- Current LWVUS Position on Privatization
- Other relevant LWVUS positions: Public Participation, Meeting Basic Human Needs
- Link to new Position on LWV-PWM website
Videos to help you and your League get our new privatization position on the Convention agenda.
June 5 Pre-Convention “CAUCUS” Educational Session — video available here.
with Betty Keller, chair of the LWVVT Privatization Study Committee.
- the background and details about the Concurrence and how it works,
- how your Leagues could use it if it is adopted, and
- how you can help us get it adopted.
Link to it on HCR Interest Group YouTube Channel. Powerpoint with notes pdf here.
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Pros and Cons for the proposal submission (seeking your comments)
WHY: Learn More: Context and Studies
- LWVUS Current Privatization Position (2022-2024) (download pdf)
- Statement about the proposed VT concurrence on LWVUS-maintained wiki — in Groups.io
- Vermont 2023 New Privatization Position: Study Report (download pdf)
- CASE STUDY ON DE-PRIVATIZING — How Connecticut Used Sunlight to Overcome Black Box Costs, Denials, and Fraud, S. Toubman 2019 (Talking Points pdf), full transcript pdf), link )
- In 2012, Connecticut replaced managed care organizations (MCOs) in its Medicaid program with a program of “managed fee for service.” Enhanced care coordination for all Medicaid recipients became an important part of this program, which has reduced Medicaid spending and provided better service to patients.
- LWVVT Pres. Sue Racanelli remarks at Convention Plenary–at the podium, “The Vermont position is more than health care. It is about you” 6/30/2024 pdf
- The Privatization of Everything, by D. Cohen & A. Mikaelian, 2021, pp. 1-20 (Intro)
- Red States Creating State-run Single-Payer Pharmacy Benefit Managers (w/ no Conflict of Interest), “BIG” substack, M. Stoller, 6 July 2025
- Videos on Privatization of Health Care —
- LWV VT Privatization of Medicare — 2/6/23
- PNHP-NY Metro: How Private Equity Makes Us Sicker — 18 Oct 2022
- CNYH: If we ran fire departments like we run healthcare — 2022 — 2 minutes
- PNHP: Exposing the Profiteers Behind Medicare Reach — 2023
- Robert Reich: This One Thing Is Making Your Life More Expensive — 2023 — 5 minutes
- Dr. Glaucomflecken: The Future of Medicine — 2023 — 2.5 minutes
Frequently Asked Questions
Q1. Why do we need an update to the position on privatization? Isn’t the LWVUS current position adequate? Go to Answer A1
Q2. Why does Vermont consider the topic of privatization is so important in health care? Go to Answer A2...
Q3. Do you propose that the Vermont update replace the LWVUS position? No. Read more…
Q4. Is the proposed update intended to add to the LWVUS Health Care position (under Social Policy)? or the Privatization position under “Representative Government? Go to Answer A4.
Q5. Is it your position that there should be no private options available at all? Go to Answer A5.
Q6. Without definitions, and descriptions of the process for taking control of currently and historically private health services, would we be inadvertently manipulated into supporting a move that was unintended? Go to Answer 6
Q7. What are the criteria for “failing to deliver”? Go to Answer 7.
Seeking your comments – Pro or Con
We are open to your input–please. For example, the Pros and Cons document (linked above) still feels stilted to some members of the Update Committee; the “cons” especially do not feel authentic. So we are looking for people who do not agree with adopting the new position more broadly to send us their opinions.
Please use the linked webform for comments and suggestions, or send an email to the Update-email below.
Please contact us for Concurrence questions and comments: lwv.vt.update@gmail.com


