Woolhandler S, Himmelstein D U, Silber R, Harnly M, Bader M, Jones A A
Am J Public Health. 1983 May;73(5):584-7. doi: 10.2105/ajph.73.5.584.
Government support of public and private hospitals in Oakland and Berkeley, California was investigated. The private hospitals received government subsidies amounting to at least 60 per cent of their total revenues. The dollar amount of the subsidies to private hospitals was four and one-half times greater than government expenditures on the public hospital. In Oakland and Berkeley, as in many cities, public medical services have been reduced while both government health expenditures and private hospital revenues have increased sharply. The private hospitals, although all nominally non-profit, exhibit revenue maximizing behavior which results in socially unjust and medically irrational resource allocation. Funds might be found for public hospitals and clinics, and resources allocated more justly and rationally, if government expenditures in the private sector were brought under greater public scrutiny and control.
对加利福尼亚州奥克兰和伯克利的公立及私立医院的政府支持情况进行了调查。私立医院获得的政府补贴至少占其总收入的60%。对私立医院的补贴金额比政府在公立医院的支出高出四倍半。与许多城市一样，在奥克兰和伯克利，公共医疗服务减少了，而政府医疗支出和私立医院收入都大幅增加。私立医院虽然名义上都是非营利性的，但表现出收益最大化行为，这导致了社会不公和医疗资源分配不合理。如果政府在私营部门的支出受到更严格的公众监督和控制，或许就能为公立医院和诊所找到资金，并更公正合理地分配资源。
