Martin J L
J Natl Med Assoc. 1979 Apr;71(4):357-9.
The organization and delivery of health care in the United States is undergoing critical review. In recent years, the costs of medical services have skyrocketed to such an extent that many Americans have exhausted their scanty life savings for hospitalizations or other related medical expenditures. As a result, health care consumers have become disenchanted and are now demanding a change in the medical care system.In addition, there appears to be a conceptual change from good health being considered an individual responsibility, to one of social concern. Have we gained from Sweden's experience in health care or is this a moral issue?It is well known that health care system in the United States is in need of fundamental change, but we also know that change of this magnitude is usually quite slow and painful. One seriously ponders whether public dissatisfaction will surface to those heights which led to the massive revolt of the Great Depression. This is a moot question.
美国医疗保健的组织与提供方式正在接受严格审查。近年来，医疗服务成本急剧飙升，以至于许多美国人耗尽了他们微薄的积蓄用于住院治疗或其他相关医疗支出。结果，医疗保健消费者已不再抱有幻想，现在要求对医疗体系进行变革。此外，似乎存在一种观念转变，即从认为健康是个人责任转变为社会关注的问题。我们从瑞典的医疗保健经验中有所收获吗？还是这是一个道德问题？众所周知，美国的医疗保健系统需要进行根本性变革，但我们也知道，如此大规模的变革通常相当缓慢且痛苦。人们不禁严肃思考，公众的不满是否会上升到引发大萧条时期大规模反抗的那种程度。这是一个有争议的问题。
