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本文在考察了美国医疗保险制度的现状后,提出解决卫生费用不断膨胀的问题,必须改变“根本的补偿协调机制”——简化目前的保险系统,“保险业尽快转变成予付保险制”。另外还提出在控制费用上涨时应注意的四个问题:①改变行医方式。鼓励联合行医。②鼓励通科医师的发展。③通过全国性的调研确定正确的适宜技术。④反对医疗保健系统企业化、商业化的趋势。
After examining the status quo of the U.S. medical insurance system, this paper proposes to solve the problem of the ever-expanding health costs. It is necessary to change the “fundamental compensation coordination mechanism” - to simplify the current insurance system and to “convert the insurance industry into a prepayment insurance system as soon as possible.” In addition, four issues that should be paid attention to when controlling costs rise: 1 Change the way of practicing medicine. Encourage joint practice. 2 Encourage the development of general practitioners. 3 Through the national research to determine the right appropriate technology. 4 Oppose the trend of the commercialization and commercialization of healthcare systems.