Goodman John C
National Center for Policy Analysis in Dallas, Texas, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w540-3. doi: 10.1377/hlthaff.25.w540. Epub 2006 Oct 24.
To control health care costs, someone must choose between health care and other uses of money. The value of most health care is experienced subjectively, as is the value of other goods and services. No one is in a better position to make these subjective trade-offs than patients themselves. The current system not only systematically denies patients the opportunity to make such choices, it distorts the incentives of providers in the process. Chronic patients in particular would be much better off if they could manage more of their own health care dollars and if providers were free to compete to meet their needs.
为了控制医疗成本,必须有人在医疗保健和金钱的其他用途之间做出选择。大多数医疗保健的价值是主观体验的,其他商品和服务的价值也是如此。没有人比患者自己更有能力做出这些主观的权衡。当前的体系不仅系统性地剥夺了患者做出此类选择的机会,还在此过程中扭曲了医疗服务提供者的激励机制。特别是慢性病患者,如果他们能够管理更多自己的医疗保健费用,并且医疗服务提供者能够自由竞争以满足他们的需求,他们的状况会好得多。