Davis J B
Marquette University, Milwaukee, WI, USA.
Health Care Anal. 2000;8(1):55-64. doi: 10.1023/A:1009425908098.
This paper examines the lack of health insurance coverage in the US as a public policy issue. It first compares the problem of health insurance coverage to the problem of unemployment to show that in terms of the numbers of individuals affected lack of health insurance is a problem comparable in importance to the problem of unemployment. Secondly, the paper discusses the methodology involved in measuring health insurance coverage, and argues that the current method of estimation of the uninsured underestimates the extent that individuals go without health insurance. Third, the paper briefly introduces Amartya Sen's functioning and capabilities framework to suggest a way of representing the extent to which individuals are uninsured. Fourth, the paper sketches a means of operationalizing the Sen representation of the uninsured in terms of the disability-adjusted life year (DALY) measure.
本文将美国医疗保险覆盖不足作为一个公共政策问题进行研究。首先，将医疗保险覆盖问题与失业问题进行比较，以表明就受影响的个体数量而言，医疗保险覆盖不足是一个在重要性上与失业问题相当的问题。其次，本文讨论了衡量医疗保险覆盖情况所涉及的方法，并认为当前对未参保者的估计方法低估了个体未拥有医疗保险的程度。第三，本文简要介绍了阿玛蒂亚·森的功能与能力框架，以提出一种表示个体未参保程度的方式。第四，本文概述了一种根据伤残调整生命年（DALY）指标来实施森对未参保者的表述的方法。
