Navarro V
Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205, USA.
Int J Health Serv. 1995;25(2):185-201. doi: 10.2190/5GMF-CPYE-N8G4-7HH4.
In an analysis of the sociopolitical context of the debate on health care reform in the United States, the author focuses on the political events that led to the election of a Democratic administration in 1992; the evolution of the White House task force on health care reform and the interests and positions it represented; the connection between economic and political power in the United States; and the reasons for the defeat of the health care reform proposal. This historical analysis questions some of the dominant interpretations of the failure to reform health care, which assume that the U.S. population was not yet ready for these reforms.
在对美国医疗保健改革辩论的社会政治背景进行分析时,作者关注了导致1992年民主党政府当选的政治事件;白宫医疗保健改革特别工作组的演变及其所代表的利益和立场;美国经济与政治权力之间的联系;以及医疗保健改革提案失败的原因。这种历史分析对一些关于医疗保健改革失败的主流解释提出了质疑,这些解释认为美国民众尚未做好接受这些改革的准备。