リベラルな利益,保守的な支出. 国民保健プログラムのための医師団の提案です
K Grumbach1, T Bodenheimer, D U Himmelstein
1Physicians for a National Health Program, Cambridge, MA 02139.
JAMA
|May 15, 1991
まとめ
国民保健プログラムのための医師団は,すべてのアメリカ人をカバーする単一の公共保険プログラムを提案しています. この計画は,数十億ドルの管理費を節約し,拡張されたサービスを資金提供し,現在の保健支出水準を維持することができます.
科学分野:
- 保健政策 保健政策 保健政策
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
背景:
- 現在の医療制度は,医療の普及と行政の非効率性に関する課題に直面しています.
- 人口の大部分は依然として保険がないか,保険が不足している.
- 管理費は,全体的な医療費の相当な部分を占めています.
研究 の 目的:
- 全面的な国民健康保険プログラムを提案する.
- 潜在的な管理費の節約と,サービスの拡大への影響を推定する.
- 移行期国家保健プログラムのための予算と資金調達モデルを概説する.
主な方法:
- 移行期国家保健プログラム予算の概要.
- 将来の支出を経済と人口の変化にインデックス化.
- 政府の支出と専用税を組み合わせた資金調達パッケージの開発.
主要な成果:
- 年間数十億ドルの行政費削減の可能性.
- 不保険者および不十分な保険者をカバーするための十分な資金.
- 移行期間中,現在の水準で全体的な保健支出を維持すること.
- 将来の支出の成長は,主要要因に調整された国内総生産 (GNP) に結びついています.
結論:
- 国民保健プログラムによって,行政費を大幅に節約できます.
- これらの節約は,全体的なコストを増やすことなく,医療へのアクセスを拡大するための資金を調達することができます.
- 提案された資金調達モデルは,既存の収入源と新しい税を統合しています.
- このプランは,全般的な福利厚生と提供者選択を全米国民に提供することを目的としています.
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