Lauve R M, McCullough L B
Physician Exec. 1994 Oct;20(10):3-6.
The United States is now engaged in a momentous national debate about health care. How can we provide the best care possible while simultaneously containing cost (to promote the general economic integrity of society) and somehow maintain a semblance of a free health care marketplace. This is not just a political question; it is also a question of ethics. It is an ethical consideration because the current debate is not just about designing or promoting health care systems that can best address our concerns for costs, quality, and accessibility. It appears that at least some participants in the debate would not stop at arguing their beliefs as valid; they would make their beliefs law. Some urge the creation of the right to health care as a matter of law. There are significant differences between beliefs and rights, however, and they need to be considered carefully in the ongoing debate over the future of this country's health care delivery and financing system.
美国目前正围绕医疗保健展开一场意义重大的全国性辩论。我们如何在控制成本（以促进社会整体经济稳健）的同时尽可能提供最佳医疗服务，并且在一定程度上维持自由医疗市场的表象。这不仅是一个政治问题，也是一个伦理问题。这是一个伦理考量，因为当前的辩论不仅仅是关于设计或推广能够最好地解决我们对成本、质量和可及性担忧的医疗体系。似乎辩论中的至少一些参与者不会满足于论证他们的信念是合理的；他们会将自己的信念变成法律。然而，信念和权利之间存在重大差异，在关于该国医疗服务提供和融资体系未来的持续辩论中需要仔细加以考量。
