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作者描述了能被广泛接受的全民健康保险的一些必须具备的特征。这种计划必须代表渐进的而不是彻底的变化;必须遵重公民、病人和提供者的权益必须避免在现有的令人满意的组织方面造成重大的破坏;必须避免发生重大的意外收益或损失;必须避免较大程度的收入再分配;必须不致引起通货膨胀。作者的计划在于组织有效的护理机构,成功的机构能吸引忠于职守的医生,并赢得他们的信任,能使保险和护理的提供统一起来,能将医生的利益与病人获得高质量价廉的护理结合起来。此种计划的重要潜在缺点是对低工资收入工人就业机会的影响,但是这种影响可被降低到最低程度,此外,作者讨论了对全日制工人的雇主征收保险金的计划,最近在马萨诸塞州制定的法律,高度风险的联营和加拿大的系统,并将这些情况与作者的计划进行了比较。
The author describes some of the necessary features of universal health insurance that can be widely accepted. Such plans must represent gradual rather than radical changes; the rights and interests of citizens, patients and providers must be respected; significant damage must be avoided in existing satisfactory organizations; major accidental gains or losses must be avoided Must avoid a greater degree of income redistribution; it must not cause inflation. The author’s plan is to organize effective nursing institutions. Successful institutions can attract faithful doctors and win their trust. They can harmonize the provision of insurance and care, and can provide doctors with high-quality and affordable care for patients and patients. Combined. The important potential drawback of such plans is the impact on employment opportunities for low-wage income workers, but this effect can be reduced to a minimum. In addition, the author discusses plans to impose insurance on employers of full-time workers, most recently in Massachusetts. The laws that were enacted, the highly risky affiliate and Canadian systems, and these were compared with the author’s plans.