Hadley Jack, Holahan John
Urban Institute, Washington, DC, USA.
Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-250-65. doi: 10.1377/hlthaff.w3.250.
To provide benchmarks for evaluating the costs of alternative proposals to provide insurance coverage for the uninsured, this study presents two sets of cost estimates derived from medical spending patterns of lower- or middle-income people with private insurance plans and those of people with public insurance coverage during 1996-1998. The analysis suggests that the uninsured would use dollar 33.9-dollar 68.7 billion (in 2001 dollars) in additional medical care if they were fully insured. An increase in medical spending of this range would increase total health care spending by 3-6 percent and would raise health care's share of GDP by less than one percentage point.
为了提供评估为未参保者提供保险覆盖的替代方案成本的基准,本研究给出了两组成本估算,这些估算源自1996 - 1998年期间拥有私人保险计划的中低收入人群以及拥有公共保险覆盖人群的医疗支出模式。分析表明,如果未参保者获得充分保险,他们将额外使用339亿至687亿美元(按2001年美元计算)的医疗服务。这一范围内医疗支出的增加将使医疗总支出增加3% - 6%,并使医疗支出在国内生产总值中的占比提高不到一个百分点。