文章作者指出,人们由于医疗费用高而责怪医生。医生的报酬以往只占一美元卫生经费中的20美分。最近十余年,这项开支已下降到15美分。面对医生们的收入在经费总额中占这样小的比例,说明指责他们是毫无道理的。虽然如此,仍有人认为,医生负责安排医疗费,他们对其余85％所谓的“多余”开支应当负责。作者强调,必须正视医疗费用不能削减这一现实,否则就要降低医疗质量和服务范围。文章在回顾美国人如何获得医疗服务时写道,早在本世纪二十年代,当工联运动势 The author of the article pointed out that people blame doctors for their high medical costs. The doctor’s remuneration used to account for only 20 US cents in one dollar of health expenditure. In the past ten years, this expenditure has dropped to 15 cents. Facing doctors’ income in such a small proportion of total funds, it is unreasonable to blame them. In spite of this, it is still believed that doctors are responsible for arranging medical expenses, and they are responsible for the remaining 85% of so-called “excess” expenses. The author stressed that we must face up to the reality that medical expenses cannot be reduced, otherwise we must reduce the quality of medical care and the scope of services. In reviewing how Americans obtain medical services, the article wrote that as early as the 1920s, when the