医疗困难补助制度的改革开始于1983年,当时有些州采取了一些武断的行动,用削减医疗困难补助制度经费来控制预算赤字。因而引起该制度有关人员越来越多的关注。我们相信许多州在采取这些措施应付预算危机时未认识到缩小医疗困难补助制度计划的适用范围和减 The reform of the medical hardship subsidy system began in 1983. At that time, some states took some arbitrary actions to control the budget deficit by cutting funding for the medical difficulties subsidy system. As a result, more and more people concerned about the system. We believe that many states did not recognize the scope and reduction of the plan to reduce the medical hardship subsidy scheme when they adopted these measures to cope with the budget crisis.