唧唧堂编辑二朵2014-01-05 1:15 AM

Death By For-Profit Health Care 盈利健康保健导致的死亡

Abstract
This report is part of an ongoing effort by a group of health care practitioners, lawyers, researchers, and activists to expose the disastrous impact of medical debt and for-profit health care on families and individuals in the United States. Private health care enriches a few—insurance companies, private equity firms, pharmaceutical companies, debt collectors, and global investors—at the expense of everyone else. Medical debt is a weapon of the class war because when patients cannot afford medical care, they are forced into debt, often with far-ranging and catastrophic consequences. As the rate of uninsured has grown, local governments have looked to state subsidies for private health insurance as a band-aid solution. Massachusetts has implemented such a program, and the Obama Administration’s Affordable Care Act has expanded this initiative on a national scale. Unfortunately, the ACA will not solve the problem because its primary goal is to expand the market-based system that has already proved to be a miserable failure. Insurance companies profit by denying coverage. As costs rise and benefits shrink, patients will continue to pay the price. We are in a major health care crisis, the consequences of which will be felt for decades to come. The only real solutions are: a grassroots social movement to demand universal health care, an end to the scourge of medical debt, and a national conversation on the meaning of health and wellness. 论文摘要 本报告是由保健医生,律师,研究人员和活动家组成的团体持续努力的部分成果,该团体揭露了在美家庭及个人的医疗债务和营利性医疗保健的灾难性影响。私营医疗使得部分群体靠牺牲他人利益而致富,如保险公司,私募股权投资公司,制药公司,收债人,和全球的投资者。医疗债务是阶级间战争的武器,因为当患者无法负担医疗时,他们被迫陷入债务,这常带来广泛的灾难性后果。由于未投保率不断壮大,地方政府已着眼于私人医保的国家补贴作为权宜之计。马萨诸塞州已实施了这样的方案,且奥巴马政府的可负担医疗法案(ACA)已在全国范围内推广这一举措。不幸的是,该ACA法案无法解决问题因为其主要目的是为了扩大以市场为导向的体制,这惨败结局早已被证明。保险公司通过否认投保覆盖率来盈利。由于成本上升和收益缩水,患者将继续为此付出代价。我们正处在医疗保健的巨大危机之中,其后果将会在未来几十年中显现。唯一的真正解决方案唯有:一场要求全民医保的基层社会运动,对医疗债务祸害的终结,以及一场有关健康和保健意义的全国范围的对话。

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