George Mason University, Fairfax, VA, USA.
J Law Med Ethics. 2012 Fall;40(3):547-57. doi: 10.1111/j.1748-720X.2012.00688.x.
This essay makes the affirmative case for health reform by expounding on three fundamental points: (1) one moral case for expanding access to coverage and care to all is grounded in scriptural concepts of community and mutual obligation which continue to inform the American pursuit of justice; (2) the structure of PPACA springs from an appreciation of and approach to channeling market forces that was developed and proposed by a coalition of moderate and conservative Republican U.S. senators almost 20 years ago; (3) the most humane path to a better and more sustainable health system lies in implementing (and amending where appropriate) PPACA as fast and fully as we can. The purpose of this essay is to articulate why it is not possible to make our health system better, sustainable and serve us all without government playing specific and limited but absolutely crucial catalytic roles.
这篇文章通过阐述三个基本观点，为医疗改革提供了有力的论据：（1）扩大覆盖范围和提供医疗服务的道德理由是基于社区和相互义务的圣经概念，这些概念仍然是美国追求正义的基础；（2）PPACA 的结构源于对市场力量的理解和引导，这是由一个由温和派和保守派共和党参议员组成的联盟在近 20 年前提出和倡导的；（3）实现一个更好、更可持续的医疗体系的最人道途径是尽快并全面地实施（并在适当的情况下修改）PPACA。本文的目的是阐明，如果没有政府发挥特定、有限但绝对关键的催化作用，我们就不可能使我们的医疗体系变得更好、更可持续，并为所有人服务。
