高龄化视野下的奥巴马医改争议  

Disputes about Obamacare under the Aging Perspective

作　　者：孙遥[1] 

机构地区：[1]山东大学法学院,济南250100

出　　处：《中国卫生经济》2016年第9期90-93,共4页Chinese Health Economics

基　　金：2014-2015年国家留学基金委员会项目(201406220008)

摘　　要：2010年开始的美国新医改对其联邦医疗保险计划(Medicare)进行了大规模的改革,主要从医疗机构服务项目及医疗保险优惠计划等方面,削减了之前对Medicare的政府投入约7 160亿美元,并同时填补了Medicare Part D中此前由个人承担的,约3 920美元的处方药物承保缺口。这两项矛盾的举措对美国老年人的医疗权益产生了巨大影响,可能使未来老年人的参保、就医、护理与用药成为难题。奥巴马医改的出发点是好的,但最终举措不当导致了目标偏离,从"患者保护"悄然转变为了"政府可负担"。Since 2010, a wholesale reform was conducted on Medicare in the new medical reform of the US, mainly on medical in- stitution service items and medical insurance preferential program. The Medicare government input（716 billion dollars） were cut off, while the fiscal cut of prescription drug （3 920 dollars） which were taken by individuals in Medicare Part D. These two confliction mea- surement had great effects on the health care equity of the elder American, which could be challenges for future anticipation for medi- cal insurance, visiting doctors, nursing and prescription drug for the ehterly. The goal of Obamacare was great, but the inappropriate fi- nal measurement deviated from its original goal, which altered from ＂patient protection＂ to ＂affordahle to the government＂.

关 键 词：奥巴马 医疗保险改革 联邦医疗保险计划 老年人 

分 类 号：R199[医药卫生—卫生事业管理]