Levit K R, Lazenby H C, Sivarajan L
Health Aff (Millwood). 1996 Summer;15(2):130-44. doi: 10.1377/hlthaff.15.2.130.
Falling medical prices and slowing growth in private health insurance premiums diverted the spotlight from large-scale reform of the health care system in 1994. In aggregate, growth in health expenditures dropped to its lowest rate in more than thirty years. Even at this low rate, health spending grew faster than gross domestic product (GDP), but the economy easily absorbed these modest increases. In this picture of moderation, there was one disconcerting note: Medicare spending continued to increase at double-digit rates. Although Medicare's more rapid spending growth seems out of sync with the current modest health spending growth trends in the private sector, closer examination of factors accounting for growth in 1994 suggests that some difference is warranted.
医疗价格的下降以及私人医疗保险保费增长的放缓，使人们的注意力从1994年医疗保健系统的大规模改革上转移开来。总体而言，医疗支出的增长降至三十多年来的最低水平。即便处于这一低增长率，医疗支出的增长仍快于国内生产总值（GDP），不过经济轻松地吸纳了这些适度的增长。在这种适度的情形下，有一个令人不安的情况：医疗保险支出继续以两位数的速度增长。尽管医疗保险支出的更快增长似乎与当前私营部门适度的医疗支出增长趋势不一致，但对1994年增长因素的仔细研究表明，存在一些差异是合理的。
