Austin B. Frakt ( frakt@bu. edu ) is director of the Partnered Evidence-Based Policy Resource Center at the Veterans Affairs Boston Healthcare System; an associate professor at the Boston University School of Public Health; and a senior research scientist at the Harvard T. H. Chan School of Public Health, all in Boston, Massachusetts.
Jonathan Oberlander is a professor in and chair of the Department of Social Medicine in the School of Medicine and a professor in the Department of Health Policy and Management in the Gillings School of Global Public Health, both at the University of North Carolina at Chapel Hill.
Health Aff (Millwood). 2020 Jan;39(1):142-145. doi: 10.1377/hlthaff.2019.01494.
Medicare for All plans have many advantages over the status quo. Yet the challenges facing such plans are immense, reflecting their ambitions to achieve universal coverage through a single federal plan and their disruption to existing insurance and financing arrangements. Medicare for All will not become viable unless it can meet the daunting political, economic, and administrative realities that govern US health care.
全民医保计划相对于现状有许多优势。然而，这些计划面临的挑战是巨大的，这反映了它们通过单一的联邦计划实现全民覆盖的雄心，以及对现有保险和融资安排的颠覆。除非全民医保计划能够应对美国医疗保健的严峻政治、经济和行政现实，否则它将无法可行。
