当前及可预见的将来,卫生保健的费用均是一个棘手问题。1965年国会通过老年医疗保险制度和医疗困难补助制度以确保贫民和老年人在现代化医院得到专科医生的治疗。但是,以往15年来的政策争论集中于这些费用的螺旋性上升。国会已采取对策,以减少老年医疗保险制度的开支,如最近推行的按诊断分类定额报销制(DRG)及其它州试图减少医疗困难补助费用的措施等。目前 The current and foreseeable future, the cost of health care is a thorny issue. In 1965, the Congress passed the old-age medical insurance system and the medical difficulties subsidy system to ensure that the poor and the elderly receive treatment from specialists in modern hospitals. However, policy debates over the past 15 years have focused on the spiralling spiral of these costs. The Congress has taken measures to reduce the expenditures of the medical insurance system for the elderly, such as the recently introduced DRG and other state measures to reduce the cost of subsidies for medical difficulties. Currently