Sherry A. Glied is dean of the Robert F. Wagner Graduate School of Public Service at New York University, in New York City.
Jeanne M. Lambrew (
Health Aff (Millwood). 2018 Dec;37(12):2084-2091. doi: 10.1377/hlthaff.2018.05082. Epub 2018 Nov 16.
Democratic candidates for president in 2020 will likely include some type of public plan in their health care reform platforms. Existing public plans take many forms and often incorporate private elements, as do most proposals to extend such plans. We review the types of public plans in the current system. We describe and assess the range of proposals to extend these plans or elements of them to additional populations. We suggest questions that candidates could use to guide their decisions about the scope and content of their health policy proposals. Developmental work during campaigns will contribute to success in turning candidates' promises into accomplishments.
2020 年美国总统候选人的医疗改革方案中可能包含某种形式的公共计划。现有的公共计划有多种形式,通常包含私人元素,而大多数扩大此类计划的提议也是如此。我们回顾了当前体系中的公共计划类型。我们描述并评估了将这些计划或其中的部分内容扩展到其他人群的各种提议。我们建议候选人可以使用这些问题来指导他们制定医疗政策提案的范围和内容。竞选期间的发展性工作将有助于成功地将候选人的承诺转化为实际成果。