Thorpe K E
Department of Health Policy and Management, Harvard University School of Public Health, Boston, MA.
Inquiry. 1989 Fall;26(3):335-44.
A large number of Americans are uninsured. A number of recent proposals have been developed to extend coverage to the 31 to 37 million individuals currently without health insurance. This article examines two recent proposals. The first is to mandate coverage through the workplace. Two different methods of mandating workplace coverage are explored: the recent Kennedy-Waxman bill and the approach adopted in Massachusetts. Although both approaches cover the same number of uninsured, both the aggregate costs and their distribution differ dramatically. The article also explores the coverage and cost implications of an expansion of Medicaid alone and in conjunction with the employer mandate options.
大量美国人没有医疗保险。最近已经提出了一些建议，旨在将医保覆盖范围扩大到目前没有医疗保险的3100万至3700万人。本文考察了最近的两项建议。第一项是通过工作场所强制参保。探讨了两种强制工作场所参保的不同方法：最近的肯尼迪-瓦克斯曼法案以及马萨诸塞州采用的方法。尽管两种方法覆盖的未参保人数相同，但总成本及其分布却有巨大差异。本文还探讨了仅扩大医疗补助计划以及与雇主强制参保选项相结合时的覆盖范围和成本影响。
