Taylor Donald H
professor, Sanford School of Public Policy, Duke University, Durham, North Carolina
N C Med J. 2017 Jan-Feb;78(1):43-47. doi: 10.18043/ncm.78.1.43.
North Carolina's refusal to expand its Medicaid program has left many thousands of North Carolinians without health insurance and has imposed unnecessary costs on all of the state's residents through higher premiums in the state's health insurance marketplace. Expanding Medicaid is the most efficient way to extend coverage to the state's uninsured population, and expansion would bring a substantial amount of new federal money into the state. This money can serve as a catalyst for ambitious reforms to the Medicaid program that can lower costs, improve quality of care, and increase value for patients and taxpayers alike.
北卡罗来纳州拒绝扩大其医疗补助计划，导致成千上万的北卡罗来纳人没有医疗保险，并通过该州医疗保险市场上更高的保费给该州所有居民带来了不必要的成本。扩大医疗补助计划是将保险覆盖范围扩大到该州未参保人群的最有效方式，而且扩大计划将为该州带来大量新的联邦资金。这笔资金可以成为对医疗补助计划进行大胆改革的催化剂，从而降低成本、提高医疗质量，并为患者和纳税人都增加价值。
