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马萨诸塞州的医疗改革:从辩论到实施的公众视角

Massachusetts health reform: a public perspective from debate through implementation.

作者信息

Blendon Robert J, Buhr Tami, Sussman Tara, Benson John M

机构信息

Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA.

出版信息

Health Aff (Millwood). 2008 Nov-Dec;27(6):w556-65. doi: 10.1377/hlthaff.27.6.w556. Epub 2008 Oct 28.

DOI:10.1377/hlthaff.27.6.w556
PMID:18957451
Abstract

This study examines public opinion about the new health reform law in Massachusetts at four stages, from the beginning of the debate in September 2003 through June 2008, two years into implementation. We find that the favorable political environment in Massachusetts likely encouraged leaders to act and also contributed to the shape of the legislation as a "shared responsibility" compromise plan. Despite perceptions by some that the law is not helping the uninsured, support for it remains high-even for the individual mandate, the law's most controversial feature. There is little interest in repealing this legislation.

摘要

本研究考察了2003年9月辩论开始至2008年6月(实施两年后)这四个阶段马萨诸塞州民众对新医疗改革法案的看法。我们发现,马萨诸塞州有利的政治环境可能促使领导人采取行动,也促成了该法案作为一项“共同责任”折衷方案的形成。尽管一些人认为该法案无助于未参保者,但对它的支持率仍然很高——即使是对该法案最具争议的特征“个人强制参保条款”也是如此。几乎没有人有兴趣废除这项立法。

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