美国已开始对各级政府以及公共和私人机构之间在社会责任方面各自所处的地位进行重新评价。随着这一工作的展开,政府正受到越来越大的压力,要求遏制联邦预算中为老年人服务部份的稳定增长,其中包括为公办老年医疗保险制度提供的基金。据总统计划和预算办公室估计,在1983财政年 The United States has begun to re-evaluate the status of each level of government and public and private institutions in terms of social responsibility. With the commencement of this work, the government is under increasing pressure to curb the steady growth of the services for the elderly in the federal budget, including funds for the public aged medical insurance system. According to estimates of the Office of the President’s Program and Budget, in fiscal year 1983