Fox D M
J Health Polit Policy Law. 1996 Winter;21(4):825-44.
Policy to subsidize the education of health professionals in the United States has become contentious and uncertain. This article examines the politics of workforce policy in the twentieth century, emphasizing the years since World War II. From early in the century until the 1970s, most decision makers viewed policy to subsidize the education of health professionals as self-evidently correct. As consensus eroded, proponents insisted to increasingly skeptical audiences that these subsidies created benefits for the public. Recently, decision makers outside health care institutions have come to regard workforce policy as serving particular rather than general interests. Thus health workforce policy, like other policies outside of health affairs, may be said, perhaps oversimply but not inaccurately, to have gone through three stages: from piety to platitudes to pork.
美国补贴卫生专业人员教育的政策已变得充满争议且不确定。本文考察了20世纪劳动力政策的政治情况，重点关注二战以来的岁月。从本世纪初到20世纪70年代，大多数决策者认为补贴卫生专业人员教育的政策显然是正确的。随着共识的瓦解，支持者向越来越持怀疑态度的受众坚称，这些补贴为公众带来了好处。最近，医疗保健机构以外的决策者开始认为劳动力政策是为特殊利益而非普遍利益服务的。因此，卫生人力政策与卫生事务以外的其他政策一样，可以说（或许过于简单但并非不准确）经历了三个阶段：从虔诚到陈词滥调到政治分肥。
