Kovar M G
Milbank Q. 1986;64(1):100-32.
Policy debates about financing medical care for the elderly are often clouded by evidence drawn from averages based on aggregate data. The National Medical Care Utilization and Expenditure Survey enables examination of the circumstances of the 95 percent of the elderly who are not institutionalized. A significant portion of out-of-pocket charges falls on the poor; public expenditures are highly concentrated for the relatively few elderly in their last year of life. Medicare and Medicaid have successfully lessened the burden on families.
关于老年人医疗保健融资的政策辩论常常被基于汇总数据的平均数所获取的证据所掩盖。国家医疗保健利用与支出调查使得对95%未入住机构的老年人的情况进行审视成为可能。相当一部分自付费用落在了贫困人口身上;公共支出高度集中于相对较少的处于生命最后一年的老年人身上。医疗保险和医疗补助成功减轻了家庭的负担。