Johnson E A
Hosp Health Serv Adm. 1984 May-Jun;29(3):26-35.
The legislative and executive branches of the Federal government must recognize that the current political premises of the Medicare program have serious economic effects on hospitals resulting in an unworkable , unstable system. The time to make changes is now, before a crisis arises. Which of the nine political imperatives Congress and the administration will compromise is not known. Obviously there will be political debate before any modifications in legislation are enacted. It is reasonable to predict that the final decision will be balanced between additional costs to the Medicare patient and the political price paid by politicians . Unfortunately, the outcome will be based not on what is best for healthcare , but what is best for the political well-being of Congress and the administration. In the meantime, hospitals will remain caught in an era of uncertainty, unable to adequately plan for their financial future.
联邦政府的立法和行政部门必须认识到，医疗保险计划当前的政治前提对医院产生了严重的经济影响，导致该体系无法运转且不稳定。现在是做出改变的时候了，趁危机尚未出现。国会和政府将在九条政治要务中做出哪些妥协尚不清楚。显然，在立法做出任何修改之前都会有政治辩论。可以合理预测，最终决定将在医疗保险患者的额外成本与政治家付出的政治代价之间取得平衡。不幸的是，结果将并非基于对医疗保健最有利的因素，而是基于对国会和政府政治利益最有利的因素。与此同时，医院将继续深陷不确定性的时代，无法为其财务未来进行充分规划。
