摘要
奥巴马总统上台后启动的医疗改革是一场规模空前、任务艰巨、争论激烈、过程曲折的重大社会改革,其主要目标是抑制急速膨胀的医疗保健费用及其导致的巨额财政赤字,扩大医疗保险覆盖面,提高医疗服务质量,让医疗保健体系适应21世纪美国加强国家竞争力的要求。迄今为止,改革取得的主要成果是美国国会参众两院通过的医疗改革议案及其修正案,距离最后的成功仅一步之遥。尽管改革过程和方案存在重大缺陷,改革的前景也充满变数和挑战,但奥巴马政府已经创造了历史,初步实现了美国医疗改革的百年梦想,奥巴马也将由此形成他最重要的政治遗产。
The Health Care Reform proposed by President Obama after he came into office is a significant social reform bringing near-universal coverage to Americans. The intensely debated and bitterly fought reform aims at containing the rapidly soaring health care cost and the resulting huge budget deficit, extending health care coverage, enhancing the quality of health care and adapting the health care system to the demand of the United States in strengthening its national competitiveness in the 21st century. So far, the House and the Senate have adopted their respective versions of the reform bills and the amendment. The final resolution of the two bills is only a step away. However, since there are serious flaws in the reform project and process, and the change in the situation of the Senate, the future of the reform is full of uncertainty and challenge. However, the Obama administration have made history and realized the century-long dream of health care reform in the United States. This will also become the most important political legacy of Obama.
出处
《美国研究》
CSSCI
北大核心
2010年第1期7-32,共26页
The Chinese Journal of American Studies
