University of Chicago Law School, Chicago, IL 60637, USA.
J Public Health Policy. 2010 Apr;31(1):17-29. doi: 10.1057/jphp.2009.51.
Fraud and abuse in the spending of public monies plague governments around the world. In the United States the False Claims Act encourages whistleblowing by private individuals to expose evidence of fraud. They are rewarded for their efforts with monetary compensation and protection from retaliation. Such is not the case in Canada, England, and Australia. Although some recent legislation has increased the protections afforded to whistleblowers, they are still likely to be viewed more as disloyal employees than courageous public servants, and there is little incentive to risk their jobs and reputation. Qui tam laws provide a police force of thousands in the effort to reduce rampant fraud, waste, and abuse, and would be an asset in any health-care system where pubic health policy requires conservation of resources.
公共资金的欺诈和滥用困扰着世界各地的政府。在美国，《虚假索赔法》鼓励私人举报人揭露欺诈行为的证据。他们的努力会得到金钱补偿和免受报复的保护。在加拿大、英国和澳大利亚并非如此。尽管最近的一些立法增加了对举报人提供的保护，但他们仍可能更多地被视为不忠诚的员工，而不是勇敢的公务员，而且几乎没有动力冒着失去工作和声誉的风险。 qui tam 法律为减少猖獗的欺诈、浪费和滥用提供了数千人的警力，这将是任何需要节约资源的公共卫生政策的医疗保健系统的一项资产。
