Uzych L
Am J Emerg Med. 1990 Jan;8(1):71-5. doi: 10.1016/0735-6757(90)90300-o.
Injury is a major cause of disability and death in the United States. The effective development and implementation of trauma care systems has the potential to reduce substantially the level of morbidity and mortality otherwise suffered by trauma and injury victims. However, extant trauma care systems have been strongly affected by disruptive forces, particularly uncompensated care of the indigent. The passage of proposed federal legislation (S 15 and HR 1602) may serve to relieve some of the more financially stressed trauma centers and construct a framework for trauma care systems having a viable future. A possible long-term solution to the severe financial problems posed by indigent care could involve federally funded health insurance.
在美国，伤害是导致残疾和死亡的主要原因。创伤护理系统的有效发展和实施有可能大幅降低创伤和伤害受害者原本会遭受的发病率和死亡率。然而，现有的创伤护理系统受到了干扰因素的强烈影响，尤其是对贫困者的无偿护理。拟议的联邦立法（参议院第15号法案和众议院第1602号法案）的通过可能有助于缓解一些经济压力较大的创伤中心的状况，并构建一个具有可行未来的创伤护理系统框架。针对贫困者护理带来的严重财务问题，一个可能的长期解决方案可能涉及联邦资助的医疗保险。
