Chris Van Es

医疗改革勿要紧跟美国步伐

多伦多 ——美国最高法院开始考虑合理医疗费用法案(这一历史性的医疗改革方案被奥巴马的对手嘲笑为“奥巴马医改”),但是值得注意的是,虽然2010年颁布了医疗改革法律,但是当年没有享受医疗保险的美国人口却创下历史新高——大约50万美国居民(1/6的美国人口)无力支付巨额的医疗费用。

这一惊人数字产生的原因并不只是因为2008年爆发的经济衰退,长期的政治和政策选择也有难辞其咎。在全球范围内,特别是经济迅速增长的国家,这一教训很简单:避免美国的私人医疗保健模式

世界上大多数高收入国家都通过政府资助的预付系统为医疗保健买单,美国却是例外。富裕国家每年平均医疗支出约占国内生产总值的11%,其中80%以上来自公共资金,只有14%用于医疗服务。公共财政(在某些情况下,政府监管下的合作保险基金也等同于公共融资)为大多数医疗服务买单,私人保险只补充提供极少的额外服务。

To continue reading, please log in or enter your email address.

Registration is quick and easy and requires only your email address. If you already have an account with us, please log in. Or subscribe now for unlimited access.

required

Log in

http://prosyn.org/uiECNmV/zh;
  1. China corruption Isaac Lawrence/Getty Images

    The Next Battle in China’s War on Corruption

    • Chinese President Xi Jinping knows well the threat that corruption poses to the authority of the Communist Party of China and the state it controls. 
    • But moving beyond Xi's anti-corruption purge to build robust and lasting anti-graft institutions will not be easy, owing to enduring opportunities for bureaucratic capture.
  2. Italy unemployed demonstration SalvatoreEsposito/Barcroftimages / Barcroft Media via Getty Images

    Putting Europe’s Long-Term Unemployed Back to Work

    Across the European Union, millions of people who are willing and able to work have been unemployed for a year or longer, at great cost to social cohesion and political stability. If the EU is serious about stopping the rise of populism, it will need to do more to ensure that labor markets are working for everyone.

  3. Latin America market Federico Parra/Getty Images

    A Belt and Road for the Americas?

    In a time of global uncertainty, a vision of “made in the Americas” prosperity provides a unifying agenda for the continent. If implemented, the US could reassert its historical leadership among a group of countries that share its fundamental values, as well as an interest in inclusive economic growth and rising living standards.

  4. Startup office Mladlen Antonov/Getty Images

    How Best to Promote Research and Development

    Clearly, there is something appealing about a start-up-based innovation strategy: it feels democratic, accessible, and so California. But it is definitely not the only way to boost research and development, or even the main way, and it is certainly not the way most major innovations in the US came about during the twentieth century.

  5. Trump Trade speech Bill Pugliano/Getty Images .

    Preparing for the Trump Trade Wars

    In the first 11 months of his presidency, Donald Trump has failed to back up his words – or tweets – with action on a variety of fronts. But the rest of the world's governments, and particularly those in Asia and Europe, would be mistaken to assume that he won't follow through on his promised "America First" trade agenda.