Nyman John A
Division of Health Services Research and Policy at the University of Minnesota, USA.
Health Aff (Millwood). 2004 Sep-Oct;23(5):194-9. doi: 10.1377/hlthaff.23.5.194.
"Moral hazard" refers to the additional health care that is purchased when persons become insured. Under conventional theory, health economists regard these additional health care purchases as inefficient because they represent care that is worth less to consumers than it costs to produce. A new theory, however, suggests that much of moral hazard is actually efficient. When the care that was deemed to be welfare-decreasing is reclassified as welfare-increasing, health insurance becomes much more valuable to consumers than health economists have hitherto thought it was. As a result, there is a new argument for national health insurance: efficiency.
“道德风险”指的是人们参保后额外购买的医疗保健服务。按照传统理论,健康经济学家认为这些额外的医疗保健购买行为是低效的,因为它们所代表的医疗服务对消费者而言价值低于其生产成本。然而,一种新理论表明,大部分道德风险实际上是有效的。当原本被视为减少福利的医疗服务被重新归类为增加福利的服务时,医疗保险对消费者来说比健康经济学家此前认为的更有价值。因此,对于国家医疗保险有了一个新的论据:效率。