Rettig R A
Health Aff (Millwood). 1994 Summer;13(3):7-27. doi: 10.1377/hlthaff.13.3.7.
The nation's commitment to health cost control will potentially conflict with its deeper commitment to innovation in medical technology--drugs, medical devices, diagnostic and therapeutic procedures, and administrative infrastructure. Medical technology is implicated in increasing health care costs because, on a net basis, it increases the capabilities of medicine. Conceptual, methodological, institutional, and political factors limit the ability to address the potential conflict; these limits must be confronted and addressed if we are to formulate sound policy responses.
国家对医疗成本控制的承诺可能会与其对医疗技术创新（药物、医疗设备、诊断和治疗程序以及管理基础设施）的更深层次承诺产生冲突。医疗技术与医疗保健成本增加有关，因为从总体上看，它提高了医疗能力。概念、方法、制度和政治因素限制了应对潜在冲突的能力；如果我们要制定合理的政策应对措施，就必须正视并解决这些限制因素。
