Van de Water Paul N
National Academy of Social Insurance, USA.
Medicare Brief. 2008 Mar(18):1-7.
Each year Medicare's Board of Trustees issues a report that describes the financial condition of the Medicare program in the near term and over the next 75 years. Similar to recent trustees reports, the 2008 report projects that Medicare's Hospital Insurance Trust Fund will be depleted in 2019, at which time scheduled income will cover 78 percent of expenditures. Looking at these projections, some observers contend that Medicare must be fundamentally restructured in order to put the program--and the overall federal budget--on a sound fiscal course. Others point out that Medicare spending has grown at about the same rate as spending for private health insurance and argue that it is impossible to limit spending on Medicare without also slowing the growth of private health care costs or abandoning equal access to care for the aged and disabled.
医疗保险董事会每年都会发布一份报告,描述医疗保险计划在近期以及未来75年的财务状况。与近期的董事会报告类似,2008年的报告预计医疗保险的医院保险信托基金将于2019年耗尽,届时预定收入将覆盖78%的支出。鉴于这些预测,一些观察人士认为,医疗保险必须从根本上进行重组,以使该计划——以及整个联邦预算——走上稳健的财政轨道。另一些人则指出,医疗保险支出的增长速度与私人医疗保险支出的增长速度大致相同,并认为如果不减缓私人医疗保健成本的增长或放弃老年人和残疾人平等的医疗服务机会,就不可能限制医疗保险支出。