Marmor T R
Health Policy Q. 1982 Summer;2(2):70-8.
Our past health care policies--policies relating to provision of services, development of medical resources, public financing of care, and regulation--constitute a legacy greatly affecting our future. A new health policy must accommodate the political, social, and economic manifestations of that legacy. In the coming decade, the health care policy debate will be dominated by the reinvigorated champions of "competition." The banner of pro-competitive reform could be used to cloak changes in programs that give at best nominal help to alternative practice forms, and at worst simply force consumers to bear greater proportions of the cost of care.
我们过去的医疗保健政策——与服务提供、医疗资源发展、医疗公共融资以及监管相关的政策——构成了一份对我们的未来有着重大影响的遗产。一项新的卫生政策必须适应这份遗产所带来的政治、社会和经济影响。在未来十年，医疗保健政策辩论将由重振旗鼓的“竞争”拥护者主导。支持竞争改革的旗号可能会被用来掩盖那些对替代执业形式充其量只是给予名义上帮助、而最糟糕的是 simply force consumers to bear greater proportions of the cost of care（此句英文有误，推测应为“只是迫使消费者承担更高比例的医疗费用”）的项目变革。
