Call it a wish list or a to do list, but these are things that we think should be addressed in 2007. These do more to ensure consumer protection, individual rights and move the state forward than do debates about sodomized virgins.
Make Plan B compliance more regulated.Adopt the Illinois plan for Plan B. This requires pharmacies to publicly post how many doses are in stock. If a pharmacy stocks contraceptives they must also stock plan B and must make the sale without questions, lectures or delays. The rules for this must be publicly posted with a state 800 number to file complaints for non-compliance.
They should reintroduce the EC in the ER legislation.Avera seems to be the big complainer of this citing religious grounds. If they want to have a monopoly on half of the healthcare in the state they will have to compromise and properly serve all of the public. Their denial is religious discrimination against those who don't follow their supposed belief.
The new law should require all hospitals to provide EC to anyone who asks without screening questions about marriage, children or morality means tests. If a doctor refuses on religious grounds the hospital must provide a doctor willing to provide the medication. They should also not be allowed to make dispensing plan B contingent on submitting to a rape exam.
Require full disclosure of doctors and pharmacists.This should apply to all pharmacists and any doctor who ever sees patients for reproductive care, including all OB-GYN and all family practice doctors. Both doctors and pharmacists should be required to declare their stance on contraception and that they are either willing or not willing to prescribe or dispense them. Their stance should be posted publicly on signage at the check in desk and be provided to patients that ask over the phone. This stance should be denoted with a standardized symbol next to their name on the public signage at the front desk of the clinic or drop off counter of all pharmacies. Doctors or pharmacists who prescribe or dispense contraceptives will be required to do so based on medical information only. They will not be allowed to use means tests of marital status, children, age or other morality means tests. The rules for this should be publicly posted at the front desk along with a state 800 number to file complaints for non-compliance. Non compliance should be a $1000 fine per incident, and loss of license for five years in more egregious cases or multiple verified complaints. Consumers have a right to know up front if they will be denied healthcare, not half way through a doctor visit or after handing over their prescription. We would not accept such deceptive tactics in any other consumer service.
Regulate crisis pregnancy centers. These businesses should be regulated and inspected just like any other business and a license should be required to operate. The licensing fee should be at least $5,000 per year to cover the administration costs of regulating these facilities. They should be required to only provide counseling of any kind by licensed professional counselors who hold a state license and have training from an accredited college program in the fields of family or mental health counseling.
Crisis pregnancy centers should be barred from conducting ultrasound exams. (see more on this later) Crisis pregnancy centers should not be allowed to print, instruct or otherwise distribute inaccurate medical or mental health information that is known to be unproven or false by major research, science or industry groups. Violations should incur a minimum of a $10,000 fine per incident and permanent revocation of their license for multiple offences. Clinic owners or board members who have had a license revoked are not able to apply for a license as owners or board members of future clinics.
Congressional probes have found rampant issues of clinics providing the public with grossly inaccurate medical information.
Ban ultrasounds from being done outside of licensed clinics and hospitals for non medical purposes.There has been an increasing fad of non-medical ultrasounds for entertainment. These are marketed to expecting parents as a novel way to obtain a picture of the fetus to show family and friends. What they are not told is the medical risk from ultrasounds done in this manner and for reasons other than medical necessity. Sioux Falls currently has at least one of these photo studio ultrasound businesses. This is also a tactic of crisis pregnancy centers. Both these novelty studios and crisis pregnancy centers conduct these scans without a direct doctor's prescription and without a valid medical necessity. Ultrasound should never be done on a patient that has not been examined by a doctor and without a valid medical need. All of the major medical associations involved with sonograms and the American College of OB - Gyn have come out against this practice.
Institute a state drug importation program.The state should implement a program identical to the Illinois plan that allows people to import prescription drugs from Europe and Canada from state-approved pharmacies. We should find a way to join Illinois program rather than inventing one of our own from the ground up. This will help South Dakotans lower their drug costs and in some cases could be the difference between people obtaining life saving medications or not getting them at all. Some drugs are as much as $200 cheaper through these programs.
This could be done with minimal state cost.
Some less urgent ideas:
Start a state education investigative committee.We should be looking at how we can drastically overhaul the state education system. The goal should be to take it into the 21st century while not incurring drastic cost increases. More should be done to standardize day care and preschool so that more state certified options are available and there is less dependence on unregulated in-home daycare.
Increase unemployment benefits.The current unemployment benefit is far lower than the adjusted for wages compensation in other states. People should be able to get 3/4 of their wages and up to a higher cap amount. Past cycles where large numbers of people were let go devistated families. The current rate is not enough for people to pay for the bare minimum of housing, food, utilities and gas to get around to find a new job. We should also do something radical and allow employees to use up to three months of unemployment as family leave for a new birth, for each parent without risk of job loss. Employees should be required to pay a percentage into the system to shoulder this. This is a real world action of valuing family.
Start an organized effort to get a rail line.The economic development office should be compelled to explore and advocate for an Amtrak line between Omaha and Fargo to serve eastern South Dakota. There are a number of people muttering about this but nobody has put together an organized effort. Despite some conservative complaining about Amtrak and the purposeful under funding of it by the Bush administration it still serves a vital purpose to the country. As energy conservation and independence become more important Amtrak will become more vital and will eventually be re-energized. The reasons we have heard cited for putting in a line are that it would provide an additional selling feature to attract professionals and businesses to the state. Having easy access to two larger metro areas and access to the national rail system would be seen as a perk. It would allow people to have easier access to culturial and leisure options in places like Omaha. It would provide a more cost efficient and convenient way for professionals in a larger city such as Omaha to manage a satellite facility in South Dakota. It would provide another (and lower cost) transportation option for college students, seniors and those who can't drive. It would provide an alternative for travel during winter months when roads can be more dangerous. A line between Fargo and Omaha would allow people to jump from one major line to the other, providing more travel options nationwide. This would also provide a low cost option for travel. With airline travel being cost prohibitive, no national bus service in the state and high gas prices, another option would be welcome. Such a project would be a federal effort but the state could be key in spurring it into happening. This would be a selling point to new businesses looking at the state and another selling point for professionals thinking of moving to the state. South Dakota needs to start thinking first world instead of third world. If we do not quit treating ourselves as undeserving with limited opportunities nobody else will.
Look out of state for state revenue. Increasing the tax on RV registration (can you say RV voters?).
Urging the credit card companies to consider being more benevolent toward the people of the state that allows them to loan shark the rest of the country might be an idea. Of course we could not force them to do this, that would be akin to a tax. But some public pressure and need to keep their image good with the people of the state might be enough to get them more interested. Yes they provide jobs but we provide the means for them to do business in ways most states would not. Encouraging them to make donations towards maybe oh, the schools or education programs could be an ideal option.