Calif Med. 1970 Nov;113(5):81-4.
The May 4, 1970 issue of the American Medical News contains an article on a report released in April by the British Medical Association following a two-year study of the British National Health Service. Although the BMA study is oriented to the specific program as it has evolved in Great Britain since 1946, its main thrust is in the development of a system of voluntary health insurance which would provide for greater consumer choice, based upon nationally determined guidelines and regulations. BMA's recommendations would have the NHS utilize a combination of tax-supported and voluntary-supported mechanisms in providing medical services to various segments of the population, based upon categories of illness and income levels. Since the BMA proposal as reported in the AMA News parallels in some respects the one approved by the CMA House of Delegates and submitted to the AMA House of Delegates for its consideration, the reader will be interested in seeing the concept for a Voluntary Universally Available Health Benefits Program, independently developed by the California Medical Association. It is interesting to note that the CMA proposal attempts to avoid many of the problems with which the NHS has been identified, and at the same time would establish a single, coherent, integrated approach for development over the next decade, incorporating public programs into a unified system of medical care which utilizes the multiplicity of voluntary health insurance approaches and mechanisms.
1970年5月4日的《美国医学新闻》刊登了一篇文章,内容是关于英国医学协会在对英国国家医疗服务体系进行了为期两年的研究后于4月发布的一份报告。尽管英国医学协会的这项研究针对的是自1946年以来在英国发展起来的特定项目,但其主要重点是发展一种自愿医疗保险制度,该制度将根据国家确定的指导方针和规定,为消费者提供更多选择。英国医学协会的建议是,国家医疗服务体系在根据疾病类别和收入水平为不同人群提供医疗服务时,应结合税收支持和自愿支持机制。由于《美国医学协会新闻》报道的英国医学协会提案在某些方面与加拿大医学协会代表大会批准并提交给美国医学协会代表大会审议的提案相似,读者会有兴趣了解加利福尼亚医学协会独立制定的“普遍可获得的自愿健康福利计划”的概念。值得注意的是,加拿大医学协会的提案试图避免国家医疗服务体系所面临的许多问题,同时将为未来十年制定一个单一、连贯、综合的发展方法,将公共项目纳入一个统一的医疗保健系统,该系统利用多种自愿医疗保险方法和机制。