Dobson A, Clarke R L
Healthc Financ Manage. 1992 Jul;46(7):24-8, 31-2.
Rising healthcare costs are being allocated unevenly because some stakeholders are better than others at insulating themselves from paying their share of the burden. Those with significant or group purchasing power are paying less than actual cost, forcing providers to shift a disproportionate share of the costs to small businesses and non-group purchasers. The magnitude of this cost shifting is large and growing. Its primary impact is a destabilization of insurance markets. Stability can only be restored with well thought-out proposals that deal with causes of the cost increases.
不断上涨的医疗成本分配不均，因为一些利益相关者比其他利益相关者更善于使自己免于承担应分担的负担。那些具有重大影响力或集团购买力的人支付的费用低于实际成本，迫使医疗服务提供者将不成比例的成本份额转嫁给小企业和非集团购买者。这种成本转移的规模很大且在不断扩大。其主要影响是保险市场的不稳定。只有通过深思熟虑的提案来解决成本增加的原因，才能恢复稳定。
