Bingaman J, Frank R G, Billy C L
United States Senate, Washington, DC 20510.
Am Psychol. 1993 Mar;48(3):270-6. doi: 10.1037//0003-066x.48.3.270.
Two correlated problems, rampant escalation of health-care costs and the lack of access to health care for many Americans, challenge long-term solutions to our health-care crisis. Historically, free markets have provided the most effective method of controlling costs. Although the current health-care system is highly competitive, it falls far short of being a truly competitive marketplace emphasizing competition around cost and quality. A health-care system based on managed competition in which the marketplace is structured to create competition on cost and quality provides great promise for regulating health costs. Erosion of health-care benefits under our current system of employer-based health insurance threatens the effectiveness of any market-based solution. The 21st Century Health Care Act combines the cost-effectiveness and universal access derived through a single revenue spigot with the power of a market approach created by managed competition.
两个相互关联的问题，即医疗保健成本的猖獗攀升以及许多美国人难以获得医疗保健服务，对我们医疗保健危机的长期解决方案构成了挑战。从历史上看，自由市场提供了控制成本的最有效方法。尽管当前的医疗保健系统竞争激烈，但远未达到真正强调围绕成本和质量展开竞争的竞争性市场。基于管理式竞争的医疗保健系统，其中市场结构旨在在成本和质量方面创造竞争，为控制医疗成本带来了巨大希望。在我们当前基于雇主的医疗保险体系下，医疗保健福利的侵蚀威胁到任何基于市场的解决方案的有效性。《21世纪医疗保健法案》将通过单一收入来源实现的成本效益和全民覆盖，与管理式竞争所创造的市场方法的力量结合起来。
