六十年代以来,处在美国政治、经济和社会环境的不断变化之中的卫生系统,也发生着一系列的卫生保健制度改革。同其他工业化国家比较,美国是较为独特的。它是建立在高度私有化基础上的、多元化的卫生保健制度,政府只在几种限度上进行参与,公民自由选择加入健康保险组织。这些与挪威的“福利性”国家、英国的“国家卫生服务 Since the 1960s, a series of health care system reforms have also taken place in the ever-changing health systems of the US political, economic and social environment. Compared with other industrialized countries, the United States is more unique. It is a diversified health care system based on a high degree of privatization. The government only participates in several limits, and citizens freely choose to join a health insurance organization. These are the “healthy” countries in Norway and the “national health services in the UK”.