Harvard TH Chan School of Public Health.
National Committee for Quality Assurance, Washington, DC, USA.
Milbank Q. 2023 Mar;101(1):26-47. doi: 10.1111/1468-0009.12599. Epub 2023 Jan 24.
Policy Points A decade after failing to make it into the Affordable Care Act, the public option reemerged as a health reform goal at both the national and state levels, with polls reporting strong, bipartisan support. A 2020 poll that probed both support for one public option approach (Medicare "buy-in") and attitudes toward government suggests that differences in these attitudes could plague reform advocates' efforts. Although the COVID-19 pandemic viscerally highlighted the need for a more coherent health care system-including universal coverage-other recent evolutions in the broader US political context could undermine reform.
政策要点
平价医疗法案实施十年后，公共选择作为一项国家和州级的医疗改革目标再次出现，民意调查显示两党对此都有强烈的支持。2020 年的一项民意调查探究了公众对一种公共选择方案（“医保购买”）的支持程度以及对政府的态度，表明这些态度上的差异可能会影响改革倡导者的努力。尽管 COVID-19 大流行强烈地凸显了建立一个更具凝聚力的医疗体系（包括全民覆盖）的必要性，但美国更广泛政治背景下的其他近期演变可能会破坏改革。
