Department of Political Science, Northeastern University, Boston, Massachusetts, USA.
Int J Health Serv. 2020 Jul;50(3):334-349. doi: 10.1177/0020731420906746. Epub 2020 Feb 23.
The claim is often made that the adoption of single-payer health care in the United States would result in dramatic improvement of services for people with mental health and substance use disorders. Evidence from this sector in countries with such frameworks is mixed, however, presenting both positive and negative lessons for an American audience. Focusing on Canada as an example, this article sheds light on this topic by drawing on sources in the professional and academic literature, government reports, news stories and features, and research on-site by the author. A concluding section highlights key policy issues that American single-payer advocates will need to address for meaningful reform of the behavioral health care sector.
有人常声称，在美国采用单一支付者医疗保健体系将极大改善精神健康和物质使用障碍患者的服务。然而，来自这些体系国家该部门的证据喜忧参半，为美国受众提供了正反两方面的经验教训。本文以加拿大为例，通过援引专业和学术文献、政府报告、新闻报道和特写、以及作者现场研究等来源，就这一主题进行了探讨。最后一节重点介绍了美国单一支付者倡导者需要解决的关键政策问题，以实现对行为保健部门的有意义改革。
