Navarro Vicente
Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD 21205, USA.
Int J Health Serv. 2008;38(4):597-606. doi: 10.2190/HS.38.4.a.
This article analyzes why people in the United States have major problems in accessing medical care that are due to financial constraints. The author suggests that the cause of these problems is the way in which medical care and elections are funded in the United States, with private sources being the largest component in the funding of both activities. The article includes a comparison of funding of the electoral process in the United States with similar electoral processes in the countries of the European Union, and postulates that privatization of the funding of U.S. elections (primary and general) is responsible for privatization of the funding of medical care-the root of people's problem in paying for their medical care. Privatization of election funding gives undue power to the economic, financial, and professional groups that dominate medicine in the United States.
本文分析了为何美国民众在获取医疗服务方面因经济限制而面临重大问题。作者认为,这些问题的根源在于美国医疗服务和选举的资金筹集方式,私人资金是这两项活动资金的最大组成部分。文章将美国选举过程的资金筹集情况与欧盟国家类似的选举过程进行了比较,并假定美国选举(初选和大选)资金的私有化是医疗服务资金私有化的原因——这是民众支付医疗费用问题的根源。选举资金的私有化赋予了在美国主导医疗行业的经济、金融和专业团体过度的权力。