Pauly M V
Health Care Systems Department, University of Pennsylvania.
Health Aff (Millwood). 1994;13(2):21-33. doi: 10.1377/hlthaff.13.2.21.
An employer-enforced individual mandate has some substantial advantages over the mixed employer and individual mandate embodied in the Clinton administration's proposed health plan. Economic reasoning strongly suggests that almost all of the cost of an employer mandate will fall on workers and that in any case the incidence of an individual mandate is the same as that of an employer mandate. However, an individual mandate is easier for voters to understand, avoids administrative complexities and inequities, and eliminates the chance of adverse employment effects of mandated employer coverage.
与克林顿政府提议的医疗计划中包含的雇主与个人混合强制参保方案相比,雇主强制个人参保有一些显著优势。经济推理有力地表明,几乎所有雇主强制参保的成本都将由工人承担,而且在任何情况下,个人强制参保的影响与雇主强制参保的影响是相同的。然而,个人强制参保对选民来说更容易理解,避免了行政复杂性和不公平性,并且消除了强制雇主提供医保所带来的负面就业影响的可能性。