Morreale J C
J Health Polit Policy Law. 1978 Winter;2(4):479-507. doi: 10.1215/03616878-2-4-479.
In November of 1970 a major change in public health policy occurred in Quebec: the movement from a mixed private-public system to a completely public system of financing health care (known as Medicare). This policy change had important economic effects on the distribution of income, taxation, and health care costs. This paper analyzes these economic effects by focusing on the changes in financial burden of medical care costs between 1969-70 and 1971-72 for eight income classes. The key results that emerge are: the total cost of medical care increases sharply for all of the income groups, and the burden of the cost of medical care becomes more equitable across the income groups. Based on these results, policy considerations for the present debate on national health insurance in the United States are offered.
1970年11月，魁北克省的公共卫生政策发生了重大变化：从公私混合体系转向完全由公共部门资助医疗保健的体系（即“医疗保险”）。这一政策变化对收入分配、税收和医疗保健成本产生了重要的经济影响。本文通过关注1969 - 1970年至1971 - 1972年期间八个收入阶层医疗费用财务负担的变化，分析了这些经济影响。得出的关键结果是：所有收入群体的医疗总费用都大幅增加，并且医疗费用负担在各收入群体之间变得更加公平。基于这些结果，本文为当前美国关于国家医疗保险的辩论提供了政策思考。
