Callahan Daniel
International Program, The Hastings Center, 21 Malcolm Gordon Road, Garrison, NY 10510, USA.
J Med Philos. 2008 Jun;33(3):280-93. doi: 10.1093/jmp/jhn009.
Though the health care systems of the United States and the European countries are very different, they are being buffeted by similar problems: rising health care costs caused by aging populations, technology, and rising public demand and expectations. The primary difference is that the US system is heavily privatized, whereas the European systems are heavily government run or operated. But the latter systems are increasingly open to market ideas and practices while the US is steadily being pushed toward a stronger government role. This article offers some speculation about their gradual convergence in the years ahead.
尽管美国和欧洲国家的医疗保健系统差异很大，但它们都面临着类似的问题：人口老龄化、技术以及公众需求和期望上升导致医疗保健成本不断上涨。主要区别在于，美国的医疗保健系统高度私有化，而欧洲的医疗保健系统则主要由政府运营。但欧洲的医疗保健系统越来越接受市场理念和做法，而美国则正稳步朝着政府发挥更强作用的方向发展。本文对它们在未来几年的逐渐趋同进行了一些推测。
