Woolhandler Steffie, Himmelstein David U
The Department of Medicine, Cambridge Hospital, Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139, USA.
J Gen Intern Med. 2007 Jun;22(6):879-81. doi: 10.1007/s11606-007-0187-3. Epub 2007 Mar 30.
Many politicians and business leaders are advocating high deductible health insurance plans linked with health savings accounts--so-called consumer-directed healthcare. These policies penalize the sick, discourage needed care (especially primary and preventive care), and direct tax subsidies towards the wealthiest Americans. They offer little hope of slowing the growth of health care costs and add further bureaucratic costs and complexity to our health care financing system.
许多政客和商界领袖都在倡导将高免赔额医疗保险计划与健康储蓄账户挂钩——即所谓的消费者主导型医疗保健。这些政策惩罚病人,阻碍必要的医疗服务(尤其是初级和预防性医疗服务),并将税收补贴导向最富有的美国人。它们几乎没有减缓医疗成本增长的希望,反而给我们的医疗融资系统增加了更多的官僚成本和复杂性。