Lewin J C, Sybinsky P A
Department of Health, State of Hawaii, Honolulu 96813.
JAMA. 1993 May 19;269(19):2538-43.
Much national debate centers around national models in which an employer mandate plays an important role in providing for health care coverage for all Americans. Hawaii has had the nation's only health insurance employer mandate for almost 20 years, yet little is known nationally about the mandate itself or Hawaii's experience with it. This article describes the long-term effects of Hawaii's employer mandate on health care access and costs, and offers reflections on the potentials of national health care reform based on Hawaii's experience.
许多全国性的辩论都围绕着国家模式展开，在这些模式中，雇主强制保险在为所有美国人提供医疗保险覆盖方面发挥着重要作用。夏威夷实施全国唯一的雇主强制医疗保险政策已近20年，但在全国范围内，人们对该政策本身或夏威夷的实施经验知之甚少。本文描述了夏威夷雇主强制保险对医疗保健可及性和成本的长期影响，并基于夏威夷的经验对全国医疗改革的潜力进行了思考。
