Davis Karen, Schoen Cathy
Commonwealth Fund, New York City, New York, USA.
Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-199-211. doi: 10.1377/hlthaff.w3.199.
The framework for reaching near-universal coverage outlined in this paper combines tax credits for private insurance and public program expansions. It illustrates how a series of incremental steps could be phased in to achieve near-universal coverage. Hallmarks include creation of a Congressional Health Plan; use of the income tax system to provide tax credits and enroll uninsured people; creation of a state Family Health Insurance Program open to everyone below 150 percent of poverty; and creation of a Medicare Part E, open to the disabled and uninsured older adults. The paper provides coverage and cost estimates and identifies potential sources of revenue to finance coverage.
本文概述的实现近乎全民覆盖的框架，将私人保险税收抵免与公共项目扩展相结合。它展示了如何逐步采取一系列渐进措施来实现近乎全民覆盖。其特点包括设立一项国会健康计划；利用所得税制度提供税收抵免并让未参保者参保；设立一项面向贫困线150%以下所有人的州家庭健康保险计划；以及设立一项面向残疾人和未参保老年人的医疗保险E部分。本文提供了覆盖范围和成本估算，并确定了为覆盖范围筹资的潜在收入来源。
