Etheredge L
Front Health Serv Manage. 1990 Summer;6(4):3-35.
In the 1970s, proposals for universal health insurance were not successful. Health care providers, insurers, and others negotiating in the political process foresaw a better future without such legislation. Today, the growth of health insurance coverage has unmistakably reversed. Moral discomfort and self-interest shape the new politics of universal health insurance for the 1990s. Hospitals, physicians, insurers, employers, and tens of millions of individuals would benefit from a universal health insurance plan that was mindful of their concerns and interests. Proposals that require employers to provide insurance for full-time employees and expand public programs to cover to cover other uninsured persons now have the greatest chances for enactment. As leaders, health services and health insurance executives should be in the vanguard of efforts to enact universal health insurance.
20世纪70年代，全民医疗保险提案未获成功。医疗服务提供者、保险公司及其他参与政治协商进程的各方预见到，没有此类立法会有更美好的未来。如今，医疗保险覆盖范围的增长已明显逆转。道德上的不安和自身利益塑造了20世纪90年代全民医疗保险的新政治格局。医院、医生、保险公司、雇主以及数千万个人将从一个考虑到他们关切和利益的全民医疗保险计划中受益。要求雇主为全职员工提供保险并扩大公共项目以覆盖其他未参保人员的提案目前最有可能获得通过。作为领导者，医疗服务和医疗保险高管应处于推动全民医疗保险立法努力的前沿。
