Jackson A L
Michael Reese Hospital, Chicago, IL 60616-3390.
J Health Care Poor Underserved. 1994;5(3):252-5. doi: 10.1353/hpu.2010.0448.
Proposals for managed competition offered by President Clinton and members of Congress would foster the proliferation of health maintenance organizations, which in turn could increase bureaucracy, reduce patients' choice of providers, restrict providers' medical practices, and benefit already profitable insurance companies. A single-payer alternative presents a more viable way of reducing administrative costs and providing health insurance for all.
克林顿总统和国会议员提出的管理式竞争提案将促使健康维护组织的扩散，这反过来可能会增加官僚作风，减少患者对医疗服务提供者的选择，限制医疗服务提供者的医疗实践，并使已经盈利的保险公司受益。单一支付者方案是一种更可行的降低行政成本并为所有人提供医疗保险的方式。
