University of North Carolina, Chapel Hill, NC, USA.
Health Aff (Millwood). 2009 Sep-Oct;28(5):1285-93. doi: 10.1377/hlthaff.28.5.1285.
Does the United States spend more on medical care than other nations because Americans desire more medical care than other populations do and dislike constraints on health spending? We argue that the public is not the main barrier to successful cost control in the United States. The preoccupation with excessive demand as the cause of and rationing as the cure for U.S. health spending overlooks an alternative explanation for that spending: higher prices. There is evidence that price regulation can constrain spending and that the public will support that cost-control approach.
美国在医疗保健上的支出比其他国家多,是因为美国人比其他人群更需要医疗保健,并且不喜欢对医疗支出的限制吗?我们认为,公众并不是美国成功控制医疗成本的主要障碍。将过度需求视为美国医疗支出的原因,并将配给制作为解决方法,这种观点忽视了对医疗支出的另一种解释:更高的价格。有证据表明,价格管制可以控制支出,并且公众会支持这种成本控制方法。