Schoen M H
University of California at Los Angeles, Schools of Dentistry and Public Health.
Curr Opin Dent. 1992 Sep;2:1-5.
Access to dental care is not equitable in the United States. The dental health of the population varies widely by socioeconomic status. Private dental insurance coverage has peaked at about 40% of the population, and benefits are variable. Dentistry is not included in Medicare and is optional for adults under Medicaid. Inflation is greater than for all goods and services. There is considerable administrative waste, and quality is variable. In this author's opinion, only a national system with universal coverage, one set of benefits, a single payer, a cap on expenditures, and no participation by insurance companies that is increasingly based on salaried consumer-or community-owned group practices with dentist input into decision making can hope to solve the existing problems.
在美国，获得牙科护理的机会并不均等。人口的牙齿健康状况因社会经济地位的不同而有很大差异。私人牙科保险覆盖范围已达到约40%的人口峰值，且福利各不相同。牙科护理不包括在医疗保险范围内，对于医疗补助计划下的成年人来说是可选的。牙科护理费用的通胀率高于所有商品和服务。存在大量行政浪费，质量也参差不齐。在作者看来，只有一个全民覆盖、一套福利、单一支付方、支出上限且保险公司不参与的国家体系，并且该体系越来越多地基于有牙医参与决策的受薪消费者或社区所有的团体执业模式，才有希望解决现有问题。
