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美国的卫生保健过度依赖于市场机制,结果产生了严重的卫生问题,如卫生费用持续上涨,健康保险比例下降,甚至一部分人群没有保险,卫生资源利用效率低,健康不公平,给美国居民、企业和政府产生各种压力和负担,给经济社会带来一系列的不利影响;如果继续下去,问题会变得更加严重。这些问题的存在既与卫生保健市场和健康保险市场的性质有关,也与美国政府的制度设计和管理不力有关,迫切需要改革。
In the United States, over-reliance on the market mechanism for health care has resulted in serious health problems. For example, health care costs have risen continuously, the proportion of health insurance has dropped, and even some people have no insurance. The utilization of health resources is inefficient and the health is not fair. And the government have all kinds of pressure and burden, bringing a series of adverse effects on the economy and society. If they continue, the problem will become more serious. The existence of these problems is not only related to the nature of the health care market and the health insurance market, but also to the weak system design and management of the U.S. government and the urgent need for reform.