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《奥巴马医改将如何影响生殖健康》

How Obamacare will impact reproductive health.

机构信息

Reproductive Genetics, Fertility Associates of Memphis, Memphis, Tennessee 38120, USA.

出版信息

Semin Reprod Med. 2013 May;31(3):189-97. doi: 10.1055/s-0033-1336599. Epub 2013 Apr 22.

Abstract

For many years, health care delivery in the United States was accomplished through a complicated and evolving series of publicly and privately available insurance programs. In recent years, the increasing cost of health care as well as the relatively large number of individuals without any health care insurance coverage has prompted repeated attempts to modify or overhaul the current health care delivery paradigm. The largest legislative change to this system occurred on March 23, 2010, when President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA).The PPACA is a multifaceted and sweeping piece of legislation. The law introduces a myriad number of changes into both public and private health insurance. Understanding the law, its implications, and how to navigate through these changes is essential to provide high-quality health care to patients. Although the law or parts of it are still at risk of being modified either through judicial or political action, it is important to recognize the current aspects of the law to understand any future modifications. Providing health care coverage in the United States is sure to be as it has always been: a constantly changing and evolving set of private and public policies that carry with them significant complexities and challenges. Health care providers must constantly strive to maximize access to and quality of medical care in whatever paradigm evolves in the future.

摘要

多年来,美国的医疗服务提供一直通过一系列复杂且不断发展的公共和私人可用的保险计划来实现。近年来,医疗保健成本的不断增加以及相对较多的没有任何医疗保险覆盖的个人,促使人们反复尝试修改或彻底改革当前的医疗服务提供模式。对该系统的最大立法改革发生在 2010 年 3 月 23 日,当时巴拉克·奥巴马总统签署了《患者保护与平价医疗法案》(PPACA)。PPACA 是一项多方面的全面立法。该法律对公共和私人医疗保险都引入了无数的变化。了解该法律、其影响以及如何应对这些变化对于向患者提供高质量的医疗保健至关重要。尽管该法律或其部分内容仍有可能通过司法或政治行动进行修改,但重要的是要认识到该法律的当前方面,以了解任何未来的修改。在美国提供医疗保健覆盖范围肯定会像以往一样:一套不断变化和发展的私人和公共政策,这些政策带来了重大的复杂性和挑战。医疗保健提供者必须不断努力,在未来任何发展的模式中最大限度地提高医疗保健的可及性和质量。

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