Brown L D
Division of Healthy Policy and Management, Columbia University School of Public Health, New York, NY 10032.
Int J Health Serv. 1991;21(4):653-7. doi: 10.2190/TETY-E7XU-B42N-H54D.
A sizable number of Americans (many of low income) lack health insurance, and their ranks grew over the 1980s. One might expect to find vigorous political efforts to redress this inequity. In fact, conflicting normative and practical images of equity have blunted the sense of urgency of the problem, inhibited agreement on the proper division of labor between the market and government, and blocked consensus on strategic models for public policy for the uninsured.
相当数量的美国人(其中许多人收入较低)缺乏医疗保险,而且在20世纪80年代,这一群体的人数有所增加。人们可能会期望看到为纠正这种不公平现象而做出的积极政治努力。事实上,关于公平的相互冲突的规范和实际观念削弱了对这个问题的紧迫感,阻碍了在市场与政府之间合理分工问题上达成共识,也阻碍了在针对未参保者的公共政策战略模式上达成一致。