本文剖析美国实施全民卫生保健制度的多年民意调查。认为虽有约四分之三的美国人赞成,但透过表面现象,其实质涵义并不相同,存在矛盾现象。根据美国传统文化,人们并不愿意过多增加个人税收,而使这一理想得以实现。提出实施全民卫生保健应避开是国营还是私营的无休止争议,而包括两者在内;应依靠税收而不是增加个人所得税来实现新方案;排除官僚机构,压缩管理费用;应分期分批,先易后难地实施新计划。 This article analyzes the years of public opinion surveys in the United States that have implemented the universal health care system. Although about three-fourths of the Americans approve of it, the apparent meaning is not the same and there are contradictions. According to American traditional culture, people are not willing to increase personal taxes too much, and this ideal can be realized. It is proposed that the implementation of universal health care should avoid the endless disputes between the state and the private sector, including both, and rely on taxes instead of increasing individual income tax to realize new programs; eliminate bureaucracy and reduce management costs; It is difficult to implement the new plan easily.