Horwitz Jill
University of Michigan, Ann Arbor, USA.
Health Aff (Millwood). 2006 Jul-Aug;25(4):W308-11. doi: 10.1377/hlthaff.25.w308. Epub 2006 Jun 20.
Mark Schlesinger and Brad Gray have summarized research comparing nonprofit and for-profit health care in a remarkably useful form. Their paper effectively demonstrates how nonprofit and for-profit health care differ. However, their proposal for community control over nonprofit health care organizations in exchange for tax exemption, like many current proposals requiring nonprofit hospitals to provide free care for indigent patients, risks undermining the purpose of the nonprofit organizations and the care they provide. These trade-offs are significant yet have not been acknowledged in policy debate.
马克·施莱辛格和布拉德·格雷以一种非常有用的形式总结了比较非营利性和营利性医疗保健的研究。他们的论文有效地展示了非营利性和营利性医疗保健的差异。然而,他们提出的以社区控制非营利性医疗保健组织来换取免税的提议,就像目前许多要求非营利性医院为贫困患者提供免费医疗服务的提议一样,有破坏非营利性组织及其提供的医疗服务目的的风险。这些权衡很重要,但在政策辩论中尚未得到承认。