Herrell J H
Mayo Clin Proc. 1980 Nov;55(11):705-10.
Health-related expenditures in the United States have represented an increasing share of the national output since World War II, driven primarily by rapidly advancing frontiers of knowledge and exploding demand generated by expansion of third-part payment mechanisms and governmental tax incentives. In the decades ahead, the demands of an aging population will add a new dimension to the forces already driving total expenditures upward. The demographics of the 1990's and beyond pose a challenge to our society which must be faced today.
自第二次世界大战以来,美国与健康相关的支出在国民产出中所占的份额不断增加,这主要是由知识前沿的迅速推进以及第三方支付机制的扩展和政府税收激励措施所引发的需求激增所推动的。在未来几十年里,人口老龄化的需求将给已经推动总支出上升的因素增添新的层面。20世纪90年代及以后的人口结构给我们的社会带来了一项必须在今天就予以面对的挑战。