Welch W P, Katz S J, Zuckerman S
Urban Institute, Washington, DC 20037.
Health Care Financ Rev. 1993 Spring;14(3):41-54.
Adjusted for differences in purchasing power and practice expenses, Canadian physician fees are, on average, 59 percent of Medicare fees. The general perception that Medicare fees are low is the result of comparison with U.S. private fees, not to the much lower Canadian fees. In the context of the current U.S. health care system, lowering Medicare fees to Canadian levels could jeopardize access to care by Medicare beneficiaries. However, if all payers used the same fee schedule, fees that differed substantially from those currently used by private insurers might be viable.
在考虑购买力和医疗实践费用差异后进行调整,加拿大医生的费用平均为医疗保险费用的59%。认为医疗保险费用低的普遍看法是与美国私人费用比较的结果,而非与低得多的加拿大费用比较的结果。在当前美国医疗保健系统的背景下,将医疗保险费用降至加拿大水平可能会危及医疗保险受益人的医疗服务可及性。然而,如果所有支付方都使用相同的收费表,那么与私人保险公司目前使用的费用有很大差异的费用可能是可行的。