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作者认为政府对卫生部门的干预,必定要扩大而不是缩小,因为中央集权对予不断增加的无健康保险者既能获得优质服务又能控制卫生费用是一个重要的方法。在过去8年中,联邦政府实行了市场竞争原则,这给国家卫生事业带来消极的副作用。支付者、供方和消费者可能会各自组成同盟来寻求保护自己的方法,正象在马萨诸塞州发生的,该州法律目前要求雇员提供最低限度的健康保险金。人们对于只能短期零星地解决卫生经费和卫生服务中的问题极为不满,要求纠正由此带来的种种损失的呼声日益增加,这为在美国实行全民健康保险提供了主要动力。新的经济、社会现实提出了达到这一目标的折中的方法,这种方法与战后以来指导卫生政策的惯例很少有相似之处。
The author believes that the government’s intervention in the health sector must be expanded rather than reduced, because centralization is an important method for both increasing access to quality health services and controlling health costs. In the past eight years, the federal government has implemented the principle of market competition, which has brought negative side effects to the national health industry. Payers, suppliers, and consumers may each form alliances to seek ways to protect themselves, just as in Massachusetts, which currently requires employees to provide minimal health insurance benefits. People are extremely dissatisfied with the short-term and sporadic solution to health expenditures and problems in health services. There is an increasing demand for correction of all kinds of losses resulting from this, which provides the main driving force for the implementation of universal health insurance in the United States. The new economic and social realities have proposed a compromise method to achieve this goal, and this method has little similarities with the practice of guiding health policies since the war.