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- Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed on price and ability to pay. Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions. Applicants with such conditions may be declined cover or pay higher premiums and/or have extra conditions imposed such as a waiting period. The poor are given access to Medicaid, which is restricted by income and asset limits by means-testing, and other federal and state eligibility regulations apply. Health maintenance organizations (HMOs), which are common among the rest of the population, restrict access to treatment by financial and clinical access limits. Those 65 and older and a few others also qualify for Medicare, but it also has many restrictions. In the media and in academia, some have advocated explicit healthcare rationing to limit the cost of Medicare and Medicaid. They argue that a proper rationing mechanism would be more equitable and cost-effective. The Congressional Budget Office (CBO) has argued that health care costs are the primary driver of government spending in the long term. (en)
- 美國醫療衛生配給(英語:Healthcare rationing in the United States)透過多種形式存在。私人醫療保險是依照保費的價格,和個人的支付能力來做分配(配給)。無力自行購買醫療保險的人,或者是靠雇主取得保險,或者從其他地方取得依附於工作相關的保險,而保險公司通常會對申請人是否有既有身體狀況來做篩選。有這種身體狀況的申請人,可能被拒保,或者必須支付更高的保費,和/或者附有額外的條件,譬如說等待期(過了等待期,保單才會生效)。 窮人可利用聯邦醫療補助(Medicaid)來解決醫療費用的問題,但需要通過經濟狀況調查來確定在收入和資產方面符合規定,還要符合其他聯邦和州的規定。若要利用到其他常見的健康維護組織(HMO),會有財務和臨床治療的限制。年齡在65歲及以上,以及少數其他人有資格享受聯邦醫療保險(Medicare)的人,也有很多限制。 在媒體和學術界就有人提倡運用明確的醫療衛生配給,來控制Medicare以及Medicaid的成本。他們認為適當的配給機制會更公平,和更具有成本效益。 美國(CBO)認為長期而言,美國醫療衛生價格是驅動政府支出的重要動力。 (zh)
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- 美國醫療衛生配給(英語:Healthcare rationing in the United States)透過多種形式存在。私人醫療保險是依照保費的價格,和個人的支付能力來做分配(配給)。無力自行購買醫療保險的人,或者是靠雇主取得保險,或者從其他地方取得依附於工作相關的保險,而保險公司通常會對申請人是否有既有身體狀況來做篩選。有這種身體狀況的申請人,可能被拒保,或者必須支付更高的保費,和/或者附有額外的條件,譬如說等待期(過了等待期,保單才會生效)。 窮人可利用聯邦醫療補助(Medicaid)來解決醫療費用的問題,但需要通過經濟狀況調查來確定在收入和資產方面符合規定,還要符合其他聯邦和州的規定。若要利用到其他常見的健康維護組織(HMO),會有財務和臨床治療的限制。年齡在65歲及以上,以及少數其他人有資格享受聯邦醫療保險(Medicare)的人,也有很多限制。 在媒體和學術界就有人提倡運用明確的醫療衛生配給,來控制Medicare以及Medicaid的成本。他們認為適當的配給機制會更公平,和更具有成本效益。 美國(CBO)認為長期而言,美國醫療衛生價格是驅動政府支出的重要動力。 (zh)
- Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed on price and ability to pay. Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions. Applicants with such conditions may be declined cover or pay higher premiums and/or have extra conditions imposed such as a waiting period. (en)
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- Healthcare rationing in the United States (en)
- 美國醫療衛生配給 (zh)
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