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雪佛龙尊重原则的颠覆:对美国医疗体系的影响

The Overturning of Chevron Deference: Implications for the US Healthcare System.

作者信息

Bohler Forrest, Brock Callaham, Bohler Lily

机构信息

Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

Department of Medical Education, Edward Via College of Osteopathic Medicine - Carolinas Campus, Spartanburg, SC, USA.

出版信息

J Gen Intern Med. 2025 Feb;40(3):674-676. doi: 10.1007/s11606-024-09099-6. Epub 2024 Oct 7.

Abstract

In 1984, Chevron deference was established by the US Supreme Court in Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc., granting administrative agencies broad powers to interpret ambiguous laws passed by Congress. This landmark decision has fostered decades of controversy among legal scholars. Opponents argued it deprived courts of their constitutional duty and inappropriately expanded the power of the administrative state, while proponents claimed federal agencies, staffed by experts in their field, possess specialized knowledge to most effectively accomplish the goals of Congress. In June 2024, the Supreme Court's ruling in Loper Bright Enterprises v. Raimondo effectively ended Chevron deference, altering the judicial landscape with significant implications for US healthcare. In this commentary, we discuss the various potential benefits and challenges that the US healthcare system will face in a post-Chevron landscape while also considering the ways in which clinicians will be expected to help address these obstacles.

摘要

1984年,美国最高法院在“雪佛龙美国公司诉自然资源保护委员会”一案中确立了“雪佛龙尊重原则”,赋予行政机构广泛权力来解释国会通过的模糊法律。这一具有里程碑意义的裁决在法律学者中引发了数十年的争议。反对者认为它剥夺了法院的宪法职责,不适当地扩大了行政国家的权力,而支持者则声称,由该领域专家组成的联邦机构拥有专门知识,能够最有效地实现国会的目标。2024年6月,最高法院在“洛珀·布莱特企业公司诉雷蒙多”案中的裁决有效地终结了“雪佛龙尊重原则”,改变了司法格局,对美国医疗保健产生了重大影响。在本评论中,我们讨论了在后“雪佛龙”时代美国医疗保健系统将面临的各种潜在益处和挑战,同时也考虑了临床医生有望帮助应对这些障碍的方式。

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