Scuka R F
National Institute of Relationship Enhancement, Bethesda, MD 20824.
Soc Work. 1994 Sep;39(5):580-7. doi: 10.1093/sw/39.5.580.
National health care reform is arguably the most important domestic policy issue of the 1990s and certainly is one of the most difficult and pressing of current social issues. It also is clear that health care reform is as much a political as it is a public policy issue. This article evaluates three health care reform proposals by members of the U.S. Congress--one single-payer model and two "play or pay" models--to analyze how well they responded to the underlying crisis in the American health care system. Specific criteria for evaluating health care reform proposals are delineated, and an evaluation of the competing models is provided.
可以说，国家医疗保健改革是20世纪90年代最重要的国内政策问题，当然也是当前最困难、最紧迫的社会问题之一。同样明显的是，医疗保健改革既是一个政治问题，也是一个公共政策问题。本文评估了美国国会成员提出的三项医疗保健改革提案——一种单一支付者模式和两种“要么参保要么缴费”模式——以分析它们对美国医疗保健系统潜在危机的应对程度。文中阐述了评估医疗保健改革提案的具体标准，并对相互竞争的模式进行了评估。
