Hellander Ida
Int J Health Serv. 2005;35(2):265-89. doi: 10.2190/QM79-ELQ3-89QX-PGU7.
This report presents information on the state of the U.S. health sector in late 2004. It includes data on the uninsured and underinsured and their access to health care, underinsurance for long-term care and mental health, and the rising costs of health insurance and health care. The author presents data on the increasing social inequalities in health and access to health care; the role of corporate money in health and health care; and the hospital and pharmaceutical industries. The article also includes updates on the consequences of the Medicare prescription drug bill and the state of Medicare spending, and seniors' spending, on drugs; the results of some recent public opinion polls on health care; information on labor, labor unions, and health insurance; and some international comparisons of health insurance. The article concludes with some useful sources of information on single-payer, universal health care.
本报告介绍了2004年末美国卫生部门的状况。它包括有关未参保和未充分参保人群及其获得医疗保健服务的情况的数据,长期护理和心理健康方面的保险不足情况,以及医疗保险和医疗保健费用不断上涨的情况。作者提供了有关健康和获得医疗保健服务方面社会不平等加剧的数据;企业资金在健康和医疗保健中的作用;以及医院和制药行业的情况。文章还包括医疗保险处方药法案的后果及医疗保险支出状况、老年人药品支出的最新情况;近期一些关于医疗保健的民意调查结果;有关劳工、工会和医疗保险的信息;以及医疗保险的一些国际比较。文章最后列出了一些关于单一支付者、全民医疗保健的有用信息来源。