Stoddard F J, Altman H G, Sheldon M, Senger H, Van Buskirk D
Am J Psychiatry. 1983 Mar;140(3):327-31. doi: 10.1176/ajp.140.3.327.
The Massachusetts Mandatory Mental Health Insurance Act requires all health insurance plans in the state to cover mental illness. Because of their concerns that this law might be taken as a national model, the authors describe the problems encountered in implementing it and the conflicts between the insurance carriers and psychiatry. The authors attribute the problems to some insurance carriers' failure to deal directly with organized psychiatry in obtaining screening guidelines, the absence of psychiatrists on the carriers' central committees, and psychiatrists' generally indifferent and hostile attitudes toward the carriers. The authors describe recent improvements and recommendations based on 10 years of experience.
《马萨诸塞州强制性精神健康保险法案》要求该州所有的健康保险计划都要涵盖精神疾病。由于担心这项法律可能会被当作全国范例，作者们描述了在实施该法案过程中遇到的问题以及保险公司与精神病学之间的冲突。作者们将这些问题归因于一些保险公司在获取筛查指南时没有直接与有组织的精神病学机构打交道、保险公司中央委员会中没有精神科医生，以及精神科医生对保险公司普遍冷漠和敌对的态度。作者们根据10年的经验描述了近期的改进措施和建议。
