Bebber Robert J, Liberman Aaron
Department of Health Professions, College of Health and Public Affairs, University of Central Florida, Orlando, FL, USA.
Health Care Manag (Frederick). 2005 Apr-Jun;24(2):159-64. doi: 10.1097/00126450-200504000-00009.
Emergency physicians are under growing fiscal pressures on multiple fronts. Federal and state laws require that emergency care be provided to all those presenting at an emergency department, yet in nearly all cases there is no comparable mandate for reimbursement. The growing number of uninsured and underinsured, as well as downward pressure on reimbursement from managed care organizations and social assistance programs such as Medicaid and Medicare, also contributes to the difficulty of emergency physicians to be compensated. It may be time for the public to address more fundamental questions about the right to care and who pays for that care.
急诊医生在多个方面面临着越来越大的财政压力。联邦和州法律要求向所有前往急诊科就诊的患者提供急诊护理，但在几乎所有情况下，却没有类似的报销规定。未参保和参保不足的人数不断增加，以及来自管理式医疗组织和诸如医疗补助计划和医疗保险等社会援助项目的报销压力下降，也使得急诊医生难以获得报酬。或许现在是公众去探讨有关医疗权以及谁为这种医疗付费等更基本问题的时候了。
