Burns J
Honeywell, Inc., Minneapolis, MN.
Physician Exec. 1994 Feb;20(2):9-11.
The frenzy of health care reform activity now led by the Clinton Administration's American Health Security Act of 1993 might end in the worst of all possible outcomes: a new government entitlement program financed by business and a global budget. Unbridled entitlement could drive utilization of benefits to the maximum and, with a budget cap, guarantee rationing. So far, the administration has talked about expanding access and controlling costs--not about the health care product. Given the threat that change poses for vested interests, time will undoubtedly lapse before final implementation of a new system. Unless physicians involved in health management seize the opportunity during this window of opportunity to help shape the future of health care delivery, the likelihood of preserving the U.S. health care delivery system as we know it will be dim indeed.
目前由克林顿政府1993年的《美国健康保障法案》引领的医疗保健改革活动热潮，可能会以所有可能结果中最糟糕的一种告终：一个由企业和全球预算资助的新的政府福利项目。无节制的福利可能会将福利的使用推向极致，而在预算上限的情况下，必然会导致配给。到目前为止，政府一直在谈论扩大医保覆盖范围和控制成本——而不是医疗保健产品本身。鉴于变革对既得利益构成的威胁，在新体系最终实施之前，时间无疑会流逝。除非参与健康管理的医生们在这个机会之窗期间抓住机会，帮助塑造医疗保健服务的未来，否则我们所知的美国医疗保健服务体系得以保留的可能性确实渺茫。
