Paul Lachine

أميركا وانقسام الرعاية الصحية

بيركلي ــ في عام 1883، أنشأت الحكومة الإمبراطورية الاستبدادية في عهد الأمير أوتو فون بسمارك ــ الذي أعلن في كلمة شهيرة: "ليس بالخطب وأصوات الأغلبية سوف تتحدد القضايا الكبرى في عصرنا... ولكن بالدم والحديد" ــ هيئة التأمين الصحي الوطني في ألمانيا.

والواقع أن الأساس المنطقي لإنشاء التأمين الصحي الوطني لا يزال واضحاً الآن كما كان في نظر بسمارك قبل 130 عاما. ذلك أن نجاح أي دولة ــ سواء قيس بمجد قيصرها، أو بتوسع أراضيها، أو أمن حدودها، أو رفاهة سكانها ــ يستند إلى صحة شعبها.

إن الأمراض الخطيرة قد تصيب أي شخص، وكقاعدة عامة فإن من يصاب بمرض خطير لا يكسب الكثير من المال. وكلما طال انتظار المصابين بأمراض خطيرة للعلاج، كلما تعاظمت تكلفة علاجهم وتأهيلهم في نهاية المطاف.

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