Commonwealth Fund, New York City, NY, USA.
Health Aff (Millwood). 2009 Jul-Aug;28(4):w521-32. doi: 10.1377/hlthaff.28.4.w521. Epub 2009 May 12.
One key issue in health reform concerns the relative roles of coverage offered through private insurance and public programs. This paper compares the experiences of aged Medicare beneficiaries with those of people under age sixty-five who have private employer coverage. Compared with the employer-coverage group, people in the Medicare group report fewer problems obtaining medical care, less financial hardship due to medical bills, and higher overall satisfaction with their coverage. Although access and bill payment problems increased across the board from 2001 to 2007, the gap between Medicare and private employer coverage widened.
健康改革中的一个关键问题涉及通过私人保险和公共计划提供的覆盖范围的相对作用。本文比较了老年医疗保险受益人与有私人雇主保险的 65 岁以下人群的经历。与雇主保险组相比，医疗保险组的人报告在获得医疗保健方面遇到的问题较少，因医疗账单导致的经济困难较少，对其保险的总体满意度更高。尽管从 2001 年到 2007 年，获得医疗和支付账单的问题全面增加，但医疗保险和私人雇主保险之间的差距扩大了。
