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经济学家、政策倡导者与医疗保健改革。

Economists, policy entrepreneurs, and health care reform.

作者信息

Newhouse J P

出版信息

Health Aff (Millwood). 1995 Spring;14(1):182-98. doi: 10.1377/hlthaff.14.1.182.

Abstract

Economists would have formulated several aspects of the health care reform debate differently than policy entrepreneurs did. Economists would have questioned whether health care costs must be contained and whether either competition or global budgets were a "magic bullet" for doing so. They also would have emphasized the distortive costs of subsidies and taxes necessary to reach universal coverage, as well as the shakiness of the arguments about international competitiveness and excess insurance industry profits.

摘要

经济学家们对医疗保健改革辩论几个方面的阐述,会与政策倡导者有所不同。经济学家们会质疑医疗保健成本是否必须加以控制,以及竞争或全球预算是否是实现这一目标的“万灵药”。他们还会强调为实现全民医保所需补贴和税收带来的扭曲成本,以及关于国际竞争力和保险业超额利润的论点的不可靠性。

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