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一项相关的全民覆盖提案。

A relevant universal coverage proposal.

作者信息

Lemieux Jeff

机构信息

Progressive Policy Institute, Washington, DC, USA.

出版信息

Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-216-8. doi: 10.1377/hlthaff.W3.216.

Abstract

Karen Davis and Cathy Schoen offer a strategic vision for universal coverage that attempts to move beyond ideological battles that have stifled progress. However, I believe that there are a few specific shortcomings with the proposal's logic that could thwart political consensus. I review some of these shortcomings and make suggestions for incremental technical improvements. In particular, I suggest that future versions of the proposal consider administering the tax credits as a "passthrough" from the government through employers to individuals. I also believe that reform proposals should address more directly the issues of provider accountability and patient information needs.

摘要

凯伦·戴维斯和凯西·舍恩提出了一项全民医保的战略构想,试图超越那些阻碍进步的意识形态之争。然而,我认为该提案的逻辑存在一些具体缺陷,可能会阻碍政治共识的达成。我审视了其中一些缺陷,并提出逐步进行技术改进的建议。特别是,我建议该提案的未来版本考虑将税收抵免作为政府通过雇主向个人的一种“直接传递”来管理。我还认为,改革提案应更直接地解决医疗服务提供者的问责制问题和患者的信息需求问题。

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