White J
Health Aff (Millwood). 1993 Fall;12(3):44-57. doi: 10.1377/hlthaff.12.3.44.
Health care cost control is often debated in terms of markets versus bureaucracies. Market restraints are limited in practice by the goal of providing access to care. Therefore, effective cost control requires budgeting. Experience from budgeting for other services should put health care cost control in perspective: The goal should not be rational and efficient allocations, merely better ones. The important choice is not between markets and bureaucracy, but rather which decisions should be made by physicians and which by budgeters, and how to ensure that professional judgment is applied where most important.
医疗成本控制常常在市场与官僚机构的层面上进行讨论。在实践中，市场约束因提供医疗服务的目标而受到限制。因此，有效的成本控制需要进行预算。其他服务预算的经验应能让人们正确看待医疗成本控制：目标不应只是合理且高效的分配，而是要做到更好的分配。重要的选择并非在市场与官僚机构之间，而是哪些决策应由医生做出，哪些应由预算编制者做出，以及如何确保在最重要的地方运用专业判断。
