Ginzberg E
Inquiry. 1985 Fall;22(3):272-81.
Despite highly publicized recognition in the 1970s that a health care financing crisis existed in the United States, the crisis has gone unabated. In this review of the recent health care experience, I discuss the federal and other initiatives that were taken in the 1970s to curb health care cost increases and why they failed. I then review transformations that are currently altering the health care delivery and payment system in this country. I conclude with a discussion of three possible scenarios for the U.S. health care system at the end of the century. In the absence of a grass-roots acceptance of the limitations of medical intervention, it seems likely that total outlays will continue to increase. That is, we are probably in for "more of the same."
尽管在20世纪70年代美国医疗保健融资危机已得到广泛关注，但危机仍未缓解。在这篇对近期医疗保健情况的综述中，我将讨论20世纪70年代为遏制医疗保健成本增长所采取的联邦及其他举措，以及这些举措为何失败。然后我将审视当前正在改变美国医疗保健服务和支付体系的变革。最后，我将讨论本世纪末美国医疗保健系统可能出现的三种情景。在缺乏对医疗干预局限性的基层认同的情况下，总支出似乎可能会继续增加。也就是说，我们可能会迎来“一如既往”的情况。
