Keepnews David M
Policy Polit Nurs Pract. 2009 May;10(2):92-3. doi: 10.1177/1527154409346445.
A new political climate in the United States has raised renewed hope for achieving much needed reform of the U.S. health care system. Opposition to reform raises old arguments, however, including warnings against "big government," currently focused on proposals to include a public plan option in health reform. But greater government involvement in health care is needed to achieve comprehensive reform. Further substantial delay in achieving reform is unthinkable; success will require continued and expanded support efforts. Although a strong public plan option would represent a significant step forward, continued advocacy by proponents of single-payer health care can help strengthen broader efforts to achieve public accountability. Supporters of meaningful health reform will need to continue their efforts long past the passage of reform legislation.
美国新的政治气候为实现急需的美国医疗保健系统改革带来了新的希望。然而，对改革的反对引发了一些旧有的争议，包括对“大政府”的警告，目前这些争议集中在医疗改革中纳入公共计划选项的提议上。但是，要实现全面改革，政府需要更多地参与医疗保健。进一步大幅推迟改革是不可想象的；成功将需要持续且扩大支持力度。虽然一个强有力的公共计划选项将代表向前迈出重要一步，但单一支付者医疗保健的支持者持续进行宣传有助于加强为实现公共问责制所做的更广泛努力。有意义的医疗改革的支持者在改革立法通过之后仍需长期继续努力。
