美国是唯一没有全民医疗保险的西方发达国家,其医保体系存在政府角色错位、保障程度低、成本高等弊端。奥巴马上任后将医改作为其任内首要工作之一,但因涉及美国社会传统、价值观、民众现实利益等诸多因素,面临强大阻力。美国社会因医改被“多重撕裂”。 The United States is the only western developed country without universal medical insurance. Its medical insurance system has the disadvantages of misplaced government, low security and high cost. Obama took medical reform as one of his top priorities after taking office, but faces great resistance due to many factors, including American social traditions, values ​​and people’s immediate interests. American society was “ripped apart.”