Frisof K
MetroHealth System, Cleveland.
Health Prog. 1990 Apr;71(3):49-53.
Debate over the nature of the American healthcare system reemerged in 1989. Advocates of universal health insurance and "universal access" argued their positions in the New England Journal of Medicine, and a Harris poll indicated that 89 percent of Americans feel the United States needs to make a fundamental change in its healthcare system. An adequate assessment of these reform proposals requires a clear understanding of what we want from our healthcare system. In 1981 the U.S. bishops specified six principles for U.S. healthcare policy. The bishops asserted that U.S. policy should (1) assume that healthcare is a right, (2) promote pluralism of delivery systems, (3) promote good health in addition to treating disease, (4) give consumers a choice of providers, (5) make healthcare planning essential, and (6) include methods of controlling costs. The bishops' principles help clarify both proposals' strengths and weaknesses.
1989年，关于美国医疗体系本质的辩论再度兴起。全民医疗保险和“全民可及性”的倡导者们在《新英格兰医学杂志》上阐述了他们的立场，哈里斯民意调查显示，89%的美国人认为美国需要对其医疗体系进行根本性变革。对这些改革提议进行充分评估，需要清楚了解我们对医疗体系的期望。1981年，美国主教们为美国医疗政策明确了六项原则。主教们宣称，美国政策应该：（1）假定医疗是一项权利；（2）促进医疗服务体系的多元化；（3）除了治疗疾病之外，还要促进健康；（4）让消费者能够选择医疗服务提供者；（5）使医疗规划至关重要；（6）包括控制成本的方法。主教们的原则有助于阐明这两种提议的优缺点。
