Weil T P
Bedford Health Associates, Inc., Asheville, NC.
Health Care Manage Rev. 1993 Spring;18(2):27-37.
During the 1992 presidential debates there was considerable rhetoric on health reform. Based on the broad principles now available concerning President Clinton's plan, this article compares differences in hospital and physician use rates of the now uninsured, who would be covered by his proposal, to those who have been traditionally enrolled in health insurance plans. Numerous studies illustrate that these new insurees have historically needed more and received less health care than the insured. Hospitals and physicians will be under pressure to provide a greater volume of benefits. It is predicted that these future estimated use rates will be more akin to the Canadian single-payor rather than the German multipayor national health insurance plan.
在1992年总统辩论期间,关于医疗改革有大量的言辞讨论。基于目前可获取的有关克林顿总统计划的广泛原则,本文将其提议覆盖的目前未参保人群与传统上参保健康保险计划的人群在医院和医生使用费率方面的差异进行了比较。大量研究表明,这些新参保者历来比参保者需要更多的医疗服务,但获得的却更少。医院和医生将面临提供更多福利的压力。预计这些未来的估计使用率将更类似于加拿大的单一支付者模式,而非德国的多支付者国家医疗保险计划。