# Health System Accountability

Curated static issue packet for assistant retrieval.

## Links

- App issue page: [Health System Accountability](https://polit.pages.dev/app/?view=issues&issue=health-system-accountability)
- App idea map: [Health System Accountability ideas](https://polit.pages.dev/app/?view=ideas&issue=health-system-accountability)
- Machine-readable packet: [health-system-accountability.json](https://polit.pages.dev/llm/issues/health-system-accountability.json)
- Issue index: [all curated issues](/llm/issues/index.md)

## Use Rules

- This is a research prototype, not a voter guide, endorsement, or final assessment.
- Many rows are model-generated or unreviewed and should be treated as evidence-navigation aids.
- Missing or limited coverage means the dataset has not ingested, normalized, or balanced that surface yet; it is not evidence that a candidate lacks activity there.
- Use source URLs and record IDs when citing claims. Prefer the linked JSON/JSONL companion files for retrieval.

## Problem Model

Health-system accountability rows focus on fraud, drug prices, nondiscrimination, and market oversight rather than the broader question of who is covered.

### Analysis Questions

- Which actor is being held accountable?
- Is the tool enforcement, litigation, price leverage, or market oversight?
- Does the source row show a current proposal or a prior record signal?

## Idea Groups

- **Market and program enforcement**: 2 approachs; 1 candidate

## Source-Backed Approaches

### Prescription drug price controls

- Approach ID: `health-system-accountability--prescription-drug-pricing`
- Summary: Uses CalRx, public purchasing, or other tools to reduce prescription drug prices.
- Problem: Prescription drugs can remain unaffordable even for insured patients when public purchasers lack price leverage.
- Mechanism: Use CalRx, public purchasing, negotiation, or price-control tools to lower drug costs.
- Candidate stance rows:
  - Xavier Becerra: Supports this approach (`support`); 2 source rows; row mix: 1 support row, 1 record-only signal row; confidence `0.74`

### ACA nondiscrimination enforcement

- Approach ID: `health-system-accountability--aca-nondiscrimination-enforcement`
- Summary: Uses litigation or enforcement to protect ACA nondiscrimination and Section 1557 rules.
- Problem: Health access can be weakened when nondiscrimination protections are rolled back or unenforced.
- Mechanism: Use litigation, coalition action, or enforcement to protect ACA nondiscrimination and Section 1557 rules.
- Candidate stance rows:
  - Xavier Becerra: Record-only signal (`record`); 1 source row; confidence `0.72`

## Assistant Guidance

- Use this page for curated issue/approach structure only.
- Stance labels refer to the selected approach statement, not the candidate's whole position on the issue.
- `qualify` means a mixed or conditional source signal; it is not a final verdict that the candidate is generally qualified.
- For candidate-specific detail, follow candidate packets and evidence JSONL links.
- If a natural-language question does not match this issue, do not stretch this issue page to answer it.
