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保健费用的控制作为政府的政策目标,日益引起人们的重视。在美国,公办老年医疗保险制度(Medicare下简称医疗保险制)和医疗困难补助制度(Medicaid下简称医疗补助制)费用占全部保健经费的27%,这部份费用的潜力发挥更大的作用,可使保健服务的提供和利用更为广泛、充分。然而,除在少数方面,情况并不是这样。医疗保险制和医疗补助制在结构上与当初的蓝十字-蓝盾会和商业公司的健康保险很相似,时至今日已有17年历史了。对这种保健体系的经济方面,比以前更有所了解。经济学家们
The control of health care costs as a government policy goal has increasingly attracted people’s attention. In the United States, the public health insurance system (Medicare medical insurance system) and medical hardship subsidy system (medicaid referred to as the medical subsidy system) account for 27% of the total health care expenditure. The potential of this part of the cost play a greater role. Health services can be provided and used more extensively and fully. However, except in a few areas, this is not the case. The health insurance system and the medical assistance system are structurally similar to those of the Blue Cross-Blue Shield Society and the commercial company’s health insurance system. It has a history of 17 years. The economic aspects of this health care system are better understood than before. Economists