Podell L B
Am J Hosp Pharm. 1983 Apr;40(4):639-41.
Three recent U.S. Supreme Court antitrust rulings that influence the health-care delivery system are examined. Historically four defenses protected the health-care system from antitrust law. They are the learned-profession exemption, the fact that health-care systems have little effect on interstate commerce, the state-action defense, and the business-of-insurance exemption under the McCarran-Ferguson Act. These defenses and Supreme Court cases that have weakened or eliminated them are described. The cases are Arizona v. Maricopa County Medical Society, Union Labor Life Insurance Co. v. Pireno, and Blue Shield of Virginia v. McCready. Health-care providers will be subject to increased antitrust scrutiny as a result of these cases.
本文审视了美国最高法院近期作出的三项影响医疗保健服务体系的反垄断裁决。从历史上看，有四项抗辩理由使医疗保健体系免受反垄断法的约束。它们分别是专业学识豁免、医疗保健体系对州际商业影响不大这一事实、州政府行为抗辩以及《麦克卡伦-弗格森法案》规定的保险业务豁免。文中描述了这些抗辩理由以及削弱或取消这些理由的最高法院判例。这些判例分别是亚利桑那州诉马里科帕县医学协会案、联合劳工人寿保险公司诉皮雷诺案以及弗吉尼亚蓝盾公司诉麦克里迪案。由于这些判例，医疗保健服务提供者将面临更严格的反垄断审查。
