Marmor Theodore, Oberlander Jonathan, White Joseph
Yale University, New Haven, Connecticut, USA.
Ann Intern Med. 2009 Apr 7;150(7):485-9. doi: 10.7326/0003-4819-150-7-200904070-00114. Epub 2009 Mar 2.
Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored.
长期以来,控制医疗成本一直是美国卫生政策中难以实现的目标。本文探讨了奥巴马政府时期控制医疗成本的各种选择。作者认为,政府的医疗改革方法具有一定的成本控制潜力,但也采用了许多不太可能成功的策略。接下来将探讨美国可以从其他国家控制医疗支出的经验中学到的教训。