Harvard University Health Policy, USA.
Health Aff (Millwood). 2010 Apr;29(4):706-11. doi: 10.1377/hlthaff.2009.1019. Epub 2010 Mar 11.
The partisan split in Congress over health reform may reflect a broader divide among the public in attitudes toward the uninsured. Despite expert consensus over the harms suffered by the uninsured as a group, Americans disagree over whether the uninsured get the care they need and whether reform legislation providing universal coverage is necessary. We examined public perceptions of health care access and quality for the uninsured over time, and we found that Democrats are far more likely than Republicans to believe that the uninsured have difficulty gaining access to care. Senior citizens are less aware than others of the problems faced by the uninsured. Even among those Americans who perceive that the uninsured have poor access to care, Republicans are significantly less likely than Democrats to support reform. Thus, our findings indicate that even if political obstacles are overcome and health reform is enacted, future political support for ongoing financing to cover the uninsured could be uncertain.
国会在医疗改革问题上的党派分歧可能反映了公众在对待无保险人群态度上的更广泛分歧。尽管专家一致认为无保险人群作为一个群体遭受了伤害，但美国人对于无保险者是否得到了他们所需的护理以及提供全民覆盖的改革立法是否必要存在分歧。我们研究了公众对无保险者获得医疗保健的看法和质量随时间的变化，发现民主党人远比共和党人更有可能认为无保险者难以获得护理。老年人比其他人更不清楚无保险者面临的问题。即使在那些认为无保险者获得医疗服务的机会很差的美国人中，共和党人支持改革的可能性也明显低于民主党人。因此，我们的研究结果表明，即使克服了政治障碍并颁布了医疗改革，未来对为无保险者提供持续资金的政治支持也可能不确定。
