Aaron H, Schwartz W B
Brookings Institution, Washington, DC 20036.
Science. 1990 Jan 26;247(4941):418-22. doi: 10.1126/science.2300804.
Rapid technological advances and upward pressure on wages of hospital personnel are leading to a steady increase in health care spending that is absorbing an ever-larger fraction of gross national product. Eliminating inefficiencies in the system can provide brief fiscal relief, but rationing of beneficial services, even to the well-insured, offers the only prospect for sustained reduction in the growth of health care spending. The United States, which has negligible direct experience with rationing, can learn about choices it will face from the experience of Great Britain where health care has been rationed explicitly for many years.
技术的飞速进步以及医院工作人员工资上涨的压力，正导致医疗保健支出稳步增加，这一支出在国民生产总值中所占的比例越来越大。消除医疗系统中的低效率现象可以带来短暂的财政缓解，但即使是对参保良好的人群，限制提供有益的医疗服务，才是持续降低医疗保健支出增长的唯一希望。美国在医疗资源配给方面几乎没有直接经验，它可以从英国的经验中了解自己将面临的选择，在英国，医疗保健资源的配给已经明确实行多年了。
