New York State Concurrence Page (2026)
Email hotline: LWV.Update4Convention@gmail.com
The LWV of Port Washington-Manhasset (PWM) of NY, along with the New York State and Vermont State Leagues, asks other state and local Leagues to support consideration of a Concurrence at National Convention 2026 that would update the current LWV National position on Privatization (2012).
PLEASE HELP US! Here’s What, Why and How!
Table of Contents
- Overview of the NY(PWM) update
- Essential Documents
- The current LWVUS privatization position
- Proposed Concurrence Statement (Port Washington Manhasset (NY-PWM)
- HOW TO HELP: Ways your League can Support this Concurrence
- Definitions
- What new advocacy will this Privatization position update permit?
- Concurrence requirements and information
- Learn More: Context and Studies
1. Overview
Starting Points.
- Health care in the U.S. costs twice as much as in any other country in the world and has the worst outcomes of all industrialized countries? (also animated graph from “Our World in Data”)
- How does it happen that large portions of our health care premiums are channeled away from providing critical health services by corporate middlemen?
- In every wealthy democracy besides the U.S, health care is considered a public responsibility. Here, it’s an unregulated commodity. How significant could this factor be?
To improve health care for themselves and for the general well-being of the whole population, the Health Care Taskforce in LWV-NY and several local Leagues see many legislative and regulatory steps that could be taken. In particular, they would like to advocate against current corporate practices that siphon money out of health care; they want to support the efforts of public officials who want to stop the flow of our health care taxes into the hands of private companies, especially ones that are not acting in the public interest. Indeed, with respect to public goods like health care and public health, the private sector mandate to make a profit has a history of resulting in threats to public safety, reduced services, and increased costs to consumers and government to pay off corporate debt expenses. (See Cohen & Mikaelian, 2021, The Privatization of Everything. pdf of introduction)
Not Unique to Health Care. The steps the health care advocates feel they need to take are not unique to health care. Similar advocacy would help improve a range of ESSENTIAL SERVICES, such as jails, clean water, sanitation and other utilities where control has been given over to private investors who treat them like any other commodity, as a source of cash and not a public resource.
These are topics the League has already submitted to rigorous study, with four official studies in the last two decades. The current position in Impact on Issues was adopted in 2012, but according to its history, the Privatization position has not been used.
Making the position more useful, so it can guide needed League advocacy
**Updating the position. The NY (PWM) Privatization Update builds on the study and the Update LWV-Vermont adopted in 2023 for use within its state. In particular, NY (PWM) focuses our attention on four crucial elements that are IMPLICIT in the current US Privatization Position and the Update makes them EXPLICIT. It–
- Clarifies its scope
- Provides a clearer measure of “failure to perform”
- “Adds teeth” to its recommendation for best practices.
**Focusing advocacy on the nationwide trend of Privatization and its relationship to the League mission.
the 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.”[1]
[1] US Privatization Position, p.76 of https://www.lwv.org/sites/default/files/2024-12/ImpactOnIssues_2024-FINAL-DIGITAL.pdf
2. Essential Documents
- Current LWVUS Position on Privatization
- New York Concurrence Statement
- Essential RESOURCES
- Link to new LWV-PWM website for Privatization Concurrence
- Video of Nov. 13 Educational Forum to LWV Virginia Health Care Task Force (w/ J. Esterquest) – rev. 12/24/25
3. HOW TO HELP: Ways your League can Support this Concurrence
Pave the way for discussion and a vote on the Update Concurrence at the 2026 Convention,
- Please include it on your state and local Leagues 2026 Program Planning Survey. Materials to enlist support. To help you explain the Update, here are:
- a short script asking for 5-10 minutes on the agenda for your program planning meeting
- an illustration to help picture how the Update could be incorporated it into the LWVUS position, and
- the precise WORDING and PLACEMENT in the Survey for Leagues to use in filling out the Program Planning Survey (due March 10, 2026).
- Arrange to attend (or organize) an education session on the Update (like the video above in #2)
- Be an ambassador for the Update to other Leagues in your state.
[“Going an extra mile,” STEPS for a local League to adopt the NY position by concurrence (for itself) – it’s likely too late for this this year… but let us know if you’re interested in it.]
4. Definitions
- Public Good v. Private Good
- Privatizing v. DE-privatizing
- Elements of LEAGUESPEAK involved; short excerpt from Virginia slide deck
- a League position, Impact on Issues
- a concurrence
- Navigating to and within Impact on Issues
5. What new advocacy will this Privatization position update permit?
- What new advocacy have NY Leagues undertaken thanks to their new positions? (also includes suggested targets for advocacy for LWV-VA) pdf/ pptx
- What local issues could your state address if you concur with the updated privatization position?
- Please contact the Email hotline: LWV.Update4Convention@gmail.com to discuss your ideas or to workshop how to find the issues in your state.
- What would be the added benefit of a concurrence at the national level?
6. Concurrence requirements (per LWVUS by-laws)
- Rationale, (including “Why use concurrence?”)
- Pros/Cons of Proposed Concurrence
- Other relevant LWVUS positions in Impact on Issues: Find Public Participation (p. 128) and Meeting Basic Needs (p. 170) from Impacts’ hyperlinked Table of Contents
- A note about how private non-profit organizations relate to this Update
- The 70+ State and Local Leagues that supported consideration of the 2024 version of the Concurrence proposed by LWVVermont
7. Learn More: Context and Studies
- Here is striking evidence of LWVUS support of the concept of fiduciary duty to patients, not investors. LWVUS signs coalition letter June 2024 citing “fiduciary duty to patients not investors”
- Prior League Studies of Privatization
- Vermont 2023 Study for their Updated Privatization Position (download pdf)
- US in 2010
- Seattle Kings in 2009
- Monterey Peninsula in 2007
- The Privatization of Everything, by D. Cohen & A. Mikaelian, 2021, pp. 1-20 (Intro)
- CASE STUDY ON DE-PRIVATIZING — THE STATE OF CT TAKES BACK MEDICAID
- PNHP Study: “Removing the Middlemen from Medicaid”
- In 2012, Connecticut replaced managed care organizations (MCOs) in its Medicaid program with a program of “managed fee for service” and enhanced care coordination
- Detailed improvements in quality of care, COST, physician buy-in, system accountability and transparency
- Provides roadmap for 41 other states, giving estimates of how much each state would stand to recoup (based on size of Medicaid program n the state and current federal share.
- Hear the CT story from the people who MADE THE CHANGE! “How Connecticut Used Sunlight to Overcome Black Box Costs, Denials, and Fraud,” S. Toubman 2019 (Talking Points pdf), full transcript pdf), link )
- PNHP Study: “Removing the Middlemen from Medicaid”
- CASE STUDIES OF STATE GOVERNMENTS DE-PRIVATIZING PHARMACY BENEFIT MANAGERS–Ohio & Kentucky
- HCR4US Newsletter July 2025. “Red States Developing Single-Payer Solutions within Health Care” (that is they DE-privatized their Pharmacy Benefit Managers and created a single one, which is run by the state. Watch the 2-minute explainer video produced by the Ohio Dept of Medicaid. How many of their arguments support features of Medicare for All?!
- Here’s a longer discussion of this new development; Red States Creating State-run Single-Payer Pharmacy Benefit Managers (w/ no Conflict of Interest), “BIG” substack, M. Stoller, 6 July 2025 Shows how “replacing private pharma middlemen with state agencies cut costs and saved pharmacists.” (It’s not a surprise to us that it works, but a delight that they came up with the solution. Now how to get them to generalize the process to more aspects of the administration of care?)
- HCR4US Newsletter July 2025. “Red States Developing Single-Payer Solutions within Health Care” (that is they DE-privatized their Pharmacy Benefit Managers and created a single one, which is run by the state. Watch the 2-minute explainer video produced by the Ohio Dept of Medicaid. How many of their arguments support features of Medicare for All?!
- CONCURRENCE VIDEO —Educational Forum hosted by LWV-Virginia, Nov. 13, 2025
- (Note summary of changes lasts 3 minutes, beginning at 6 minute mark — then 10 minutes of detailing them)
- The presentation has sections:
- Read the Deck for this Explainer
- Relationship of PWM position (2025) with Vermont (2023):
- Archived 2024 Vermont Privatization Concurrence materials
Need to reach us? Use our “email hotline”: LWV.Update4Convention@gmail.com
Running list of relevant articles
- Counterpunch 12/10/2025
“Unite and Untie Healthcare”
By Kathleen Wallace
“Profits over Patients” and perverse “fiduciary duty” in the real world. WA group of shareholders is suing United Healthcare because they didn’t deny enough care and shareholder value dropped around 22%. They are showing clearly that the corporate fiduciary duty is to investors, not patients’ health. - Health Justice Monitor 12/12/2025. “Will the Market Cure Our Health Care System”? By Don McCanne
- Using AI to probe the collected works of two seminal economists, Kenneth Arrow and Milton Friedman; and public statements of contemporary figures Elon Musk and Bernie Sanders. On its own, the “free market” with no social justice agenda will not deliver universal health care. It is not something its proponents (like Milton Friedman) aspire to. More money is to be made through exclusion and scarcity than through total inclusion and equitable distribution of goods. (Email us if you think we’re misinterpreting the article.)
- LA Progressive 12/16/25 “Healthcare Beyond 2026” by Sharon Kyle
- Subtitle: “The health insurance lobby’s vast political spending — fueled by Citizens United – keeps universal coverage out of reach.” It is not controversial to say that “healthcare policymaking in the U.S. has been systematically bought by powerful corporate interests, especially the health insurance lobby.” But Kyle goes further. She says: This isn’t just political influence. It’s institutionalized leverage over our health, our wallets, and our democracy. The insurance industry invests aggressively in the political system that defines what healthcare is in this country.
- Rooke-Ley
Running list of video on privatization.
- 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
Issues to consider in deciding whether to support the NY update:
Issue One, the LWVUS position on Privatization covers the privatization of all public goods (listed in the position) — and the Vermont study group focused on the principles governing privatization of those public goods, although they often used healthcare as the key example since it is the most privatized of all American public goods. In fact, the principles governing privatization also apply in other domains, for example, privatized jails, private schools that used public money, utilities, and other.
Issue Two. The National League position on Privatization is not about free markets or capitalism in general nor about allowing the private sector to earn profits — instead it provides guidance to local, state, and national Leagues on legislation and regulation of services that the League considers essential “to preserve the common good, to protect national or local security or to meet the needs of the most vulnerable members of society” — and only those services. By adding the “fiduciary duty” standard, the Update will allow Leagues to advocate for legislation or regulation of both for-profit and nonprofit entities that fail to meet that standard.
How does the New York Update differ from 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 and has been both educating and advocating with it at the local and state levels. However, when LWVVT proposed a national update at the 2024 Convention, there appeared to be insufficient clarity about why it was needed, and the measure was not adopted.
League health care advocates across New York who advocate for healthcare reform considered a number of bills that would further limit privatization and/or remove private middlemen from health care. Sadly, their healthcare posiiton could not support advocacy in favor of those bills, nor could use the national position on privatization. They saw the new 2023 Vermont position as useful but, while educating NY League members about it, they decided to streamline it to make it easier to explain (and thereby to adopt).
Local Leagues are free to adopt their position by concurrence (to address local privatization challenges, for example, local water, energy, roads, broadband, or climate initiatives). State Leagues that adopt the update can (like NYS) address the Medicaid issue, which new laws are making ever more important in every state.
To allow League members across the country to benefit from the work of Vermont’s study, New York has streamlined the Vermont position and is now asking for your help in getting it on the Convention agenda so it can be discussed and, we hope, adopted by concurrence.
Videos to help you and your League get our new privatization position on the Convention agenda.
Please use the linked webform for comments and suggestions, or send an email to the Concurrence email: lwv.Update4Convention@gmail.com


