反对国家卫生计划的论据：是科学还是意识形态？
The arguments against a national health program: science or ideology?
作者信息
Navarro V
机构信息
Department of Health Policy and Management, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205.
出版信息
Int J Health Serv. 1988;18(2):179-89. doi: 10.2190/7VCP-EG5G-13G5-G05R.
This article provides empirical information that questions some of the major arguments put forward against the establishment of a comprehensive and universal health program in the United State. The positions that (1) "Americans do not want a further expansion of government roles in their lives," (2) "a National Health Program would further increase the rate of growth of health expenditures," (3) "the federal deficit is too large and needs to be reduced before establishing a National Health Program," and (4) "people do not want to pay higher taxes," are shown to be ideological rather than scientific. The author presents evidence that questions each of these assumptions.
本文提供了实证信息，对在美国反对建立全面且普遍的健康计划所提出的一些主要论点提出了质疑。以下这些观点：（1）“美国人不希望政府在其生活中进一步扩大作用”；（2）“国家健康计划会进一步提高医疗支出的增长率”；（3）“联邦赤字过大，在建立国家健康计划之前需要削减”；以及（4）“人们不想缴纳更高的税款”，被证明是意识形态上的而非科学的。作者给出了对这些假设逐一提出质疑的证据。
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