美国医疗保障制度改革述评

美国是发达国家中唯一没有建立全民社会医疗保障体系的国家。历史上美国曾发起过一次又一次推行全民医保的运动,但结果多以失败而告终。新世纪伊始,特别是金融危机爆发之后,美国民众对医保改革的呼声越来越高。2009年奥巴马就任美国总统后,将其作为施政的重点。美国医改法案几经曲折,最终在2010年3月获得国会批准,正式实施。本文对此次美国医疗保障制度改革的背景、内容及其经济学内涵、改革涉及的争论焦点及未来效果预期等进行深入分析,以期为我国未来医疗保障制度的进一步完善提供借鉴经验。

Review on the reform of American Health Insurance System

The U.S.is the only developed country without a national health insurance system.Historically,the agendas for national health insurance system were proposed for several times but all failed in the end.In the new era,especially after the financial crisis in 2008,more and more American people argue in favor of the health insurance reform.In 2009,Obama became President of the U.S.and pushed the Health Reform as one of his main tasks.After several rounds of debates and many unexpected frustrations,the Health Re...