改变美国的医疗保健制度是解决保健费用上涨的根本原因和费用危机的较好办法。首先,我们需要一种较好的健康保险制度。目前制度下费用上涨的原因之一是存在着众多相互竞争的保险计划,他们有各自的推销和管理开支。更重要的是保险费的支付通常是无限额的,根据医院和医师提供的服务给予补偿。虽目前大约已有近3000万人参加卫生维持组织(HMO)预付保险计划,但大多数无论公私保险仍然实行传统的支付办 Changing the health care system in the United States is a better way to solve the root cause of rising health care costs and the cost crisis. First of all, we need a better health insurance system. One of the reasons for the increase in costs under the current system is the existence of a number of competing insurance plans. They have their own marketing and management expenses. More importantly, the payment of insurance premiums is usually unlimited, and compensation is provided based on the services provided by hospitals and doctors. Although approximately 30 million people currently participate in the pre-paid insurance plan of the HMO, most of the public insurance funds still implement the traditional payment arrangements.