Bromberg M D
Am J Hosp Pharm. 1981 Mar;38(3):315-20.
The projected impact of the recent U.S. elections on federal health-care policies and programs is discussed. The elections brought Ronald Reagan to the White House, Republican control to the Senate, and a conservative majority to the House of Representatives. The voters have thus produced a mandate for an end to government intervention as the solution to all the nation's ills. The new power base in Washington will increasingly turn to private industry for provision of health-related services. Costs under a privately based system will be controlled by competition, which is the basis for free enterprise. The nation is at a crossroads in health-care policy. An aging population is in need of more health services, while the government, faced with limited resources, has been moving toward rationing services. Costs must be held down in the short run by voluntary efforts; promoting increased competition provides long-range hope for cost control. Today's leaders should seize the opportunity offered by the new conservative focus of the federal government to shape a viable health-payment system for the future.
本文讨论了近期美国大选对联邦医疗保健政策和项目的预计影响。此次选举使罗纳德·里根入主白宫，共和党控制了参议院，并在众议院形成了保守派多数。选民们因此授权终结政府干预，将其作为解决国家所有弊病的方案。华盛顿的新权力基础将越来越多地转向私营企业来提供与健康相关的服务。在基于私营的体系下，成本将通过竞争来控制，而竞争是自由企业的基础。美国在医疗保健政策方面正处于十字路口。人口老龄化需要更多的医疗服务，而面临资源有限的政府一直在朝着配给服务的方向发展。短期内必须通过自愿努力来控制成本；促进竞争加剧为成本控制提供了长期希望。当今的领导人应抓住联邦政府新的保守主义重点所带来的机遇，为未来塑造一个可行的医疗支付体系。
