在自由主义理想与市场力量之间：奥巴马医改的艰难平衡之举。
Between liberal aspirations and market forces: Obamacare's precarious balancing act.
作者信息
Oberlander Jonathan
机构信息
Professor and Vice Chair of Social Medicine, and Professor of Health Policy & Management at the University of North Carolina-Chapel Hill.
出版信息
J Law Med Ethics. 2014 Winter;42(4):431-41. doi: 10.1111/jlme.12166.
The 2010 Affordable Care Act (ACA) represents a milestone in U.S. health care policy. The ACA moves the American health care system away, in important respects, from market-driven health care, including imposing new regulations on health insurers. Yet the ACA also relies, in other respects, on market forces to achieve its aims, including its embrace of health plan competition and high-deductible insurance. This article explores how the ACA balances liberal aspirations and market principles, and the implications for health reform implementation and the future of U.S. health care.
2010年的《平价医疗法案》（ACA）是美国医疗保健政策的一个里程碑。在重要方面，《平价医疗法案》使美国医疗保健系统背离了市场驱动的医疗保健模式，包括对医疗保险公司实施新规定。然而，在其他方面，《平价医疗法案》也依赖市场力量来实现其目标，包括支持医疗计划竞争和高免赔额保险。本文探讨了《平价医疗法案》如何平衡自由主义理想和市场原则，以及这对医疗改革实施和美国医疗保健未来的影响。
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