Tommy Thompson, J.D., was Governor of Wisconsin from 1987-2001; Secretary of the U.S. Department of Health and Human Services from 2001-2005; former Chairman of Deloitte's global healthcare practice.
J Law Med Ethics. 2018 Sep;46(3):682-684. doi: 10.1177/1073110518804224.
This reflection on the Medicalization of Poverty asks how healthcare itself plays a role in the development of poverty. Drawing on Governor Thompson's extensive work reforming the welfare system, the reflection first stresses the importance of involving the very people impacted by any reform - a conscious process Governor Thompson used when pioneering the W-2 program in Wisconsin and then extended to the overhaul of Medicare's prescription drug benefit. Second, it stresses the advantage of developing bipartisan solutions to solve hard problems such as how best to provide affordable healthcare and reduce poverty in the lives of Americans.
这篇关于贫困医学化的反思探讨了医疗保健本身在贫困发展中所扮演的角色。本文借鉴了汤普森州长在改革福利制度方面的广泛工作，首先强调了让受改革影响的人参与进来的重要性——这是汤普森州长在威斯康星州开创 W-2 计划时所采用的一个有意识的过程，随后这一理念被扩展到了对医疗保险处方药福利的全面改革中。其次，它强调了制定两党解决方案来解决如何提供负担得起的医疗保健和减少美国人生活贫困等难题的优势。
