Kitzhaber J, Kemmy A M
Governor of Oregon, State Capitol, Salem, OR 97310-0370, USA.
Br Med Bull. 1995 Oct;51(4):808-18. doi: 10.1093/oxfordjournals.bmb.a072996.
On the eve of the 21st century, governments around the world are struggling to resolve the dual problems of health care cost and access. My own experience in addressing these issues as they manifest themselves in the US, and particularly in the state of Oregon, convinces me that successful health care reform, anywhere in the world, must sooner or later grapple with two questions: what are we buying with our health care dollars, and how do these expenditures relate to health?
在21世纪即将来临之际，世界各国政府都在努力解决医疗保健费用和可及性这两个双重问题。我在美国，尤其是在俄勒冈州处理这些问题的亲身经历使我深信，世界上任何地方要成功进行医疗保健改革，迟早都必须应对两个问题：我们用医疗保健费用购买的是什么，以及这些支出与健康有何关系？
