Marmor Theodore R
Healthc Policy. 2010 Aug;6(1):15-21.
The reforms that finally emerged from the Obama administration's initiative were the result of a year of nasty, demagogic and misleading claims in the US public forum, coupled with the complexities of crafting legislation that stood a chance of passing both the House of Representatives and the Senate. The resulting "hybrid" approach to healthcare reform produced a conservative strategy that ignores the experience of other wealthy democracies. More significantly, its long period of implementation, given a possible change of administration in 2012, increases uncertainty regarding whether and how reforms will be rolled out by 2014 and after.
最终从奥巴马政府倡议中产生的改革，是美国公共论坛上一年来恶意、蛊惑人心且具有误导性的言论，再加上精心制定有望在众议院和参议院都获得通过的立法所涉及的复杂性共同作用的结果。由此产生的医疗改革“混合”方案形成了一种保守策略，忽视了其他富裕民主国家的经验。更重要的是，考虑到2012年可能会有政府换届，其漫长的实施期增加了到2014年及以后改革是否会推行以及如何推行的不确定性。
