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本世纪五十年代到八十年代,由于美国联邦政府过分地强调“大社会”先进的,高质量的卫生服务,采用昂贵的医疗设备,如X—CT扫描仪和核磁共振仪等,使卫生系统的积累资本极大地增加了。最初,1966年规定国民健康保险每年为5亿美元,现已高达700亿美元,这种严重超支是联邦政府所无力承担的。从50年代到70年代个人保健费用增长了14倍。美国的卫生费用1960年为270亿美元,占国民生产总值的5%,1981年增加到2,870亿美元,占国民生产总值的9.8%,人均医疗费用1960年为146美元,1981年则增为1,200美元.预计到1990年将高达3,000美元,总卫生费用为7,580亿美元,占国民生产启值的11.5%,约以13%的年平均增长率上涨。与此增长相应的
In the 1950s and 1980s, the U.S. federal government overemphasized the advanced and high-quality health services of the “big society” and used expensive medical equipment, such as X-CT scanners and nuclear magnetic resonance instruments, to make health The accumulated capital of the system has greatly increased. Initially, in 1966, the National Health Insurance was set at 500 million U.S. dollars each year, and it has now reached 70 billion U.S. dollars. This serious over-expenditure is something that the federal government cannot afford. Personal health care costs have increased 14-fold from the 50s to the 70s. In the United States, the health expenditure was US$27 billion in 1960, accounting for 5% of the GNP. It increased to US$287 billion in 1981, accounting for 9.8% of the GNP. The per capita medical cost was US$146 in 1960 and increased in 1981. It is US$1,200. It is estimated that it will be as high as US$3,000 by 1990, with a total health cost of US$758 billion, accounting for 11.5% of the value of national production, and rising at an average annual growth rate of 13%. Corresponding to this increase