Lucas W L
Pharmaceutical Manufacturers Association, Washington, DC 20005.
J Health Care Poor Underserved. 1994;5(3):219-23; discussion 237-9. doi: 10.1353/hpu.2010.0081.
While the goals of President Clinton's health care reform plan--to expand access to health care by the underserved and reduce the unacceptably high cost of care--are important, his proposed mechanisms for doing so include provisions that are counterproductive. Blacklisting certain drugs from the Medicare program, imposing red tape on physicians who participate in Medicare, and establishing a Medicare rebate tax will hurt the pharmaceutical industry's ability to conduct research on new medications. In the end, the Administration's plan will injure the very population--the elderly, the poor, and minorities--that needs health care reform the most.
虽然克林顿总统医疗保健改革计划的目标——扩大医疗服务不足人群获得医疗保健的机会，并降低高得令人无法接受的医疗成本——很重要，但他为此提议的机制包括一些适得其反的条款。将某些药物列入医疗保险计划的黑名单、对参与医疗保险的医生设置繁文缛节，以及设立医疗保险回扣税，都会损害制药行业进行新药研究的能力。最终，政府的计划将伤害到最需要医疗保健改革的人群——老年人、穷人和少数族裔。
