本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M24-0091

摘要内容如下：

当前的美国医疗保险“体系”并不是刻意规划和构建的，而是在过去半个世纪中通过一系列渐进和随意的改革逐步形成的。这一政策的历史也揭示了一个明确但未兑现的社会承诺，即无论资源如何，都要提供基本医疗保健。为了履行这一义务，本文提出的解决方案有两个关键要素:1）自动、免费和基本的全民保险；2）在精心设计的市场中购买补充保险的选项。如果需要，可以在不增加税收、不中断或改变医疗服务的情况下建立这样一个系统。

英文原文如下：

Abstracts

The current U.S. health insurance "system" was not deliberately planned and constructed but has emerged piecemeal over the past half-century through a series of incremental and haphazard reforms. That policy history also reveals a clear but unfulfilled societal commitment to providing access to essential health care regardless of resources. To fulfill this obligation, the solution proposed in this article has 2 key elements: 1) universal coverage that is automatic, free, and basic, and 2) the option to buy supplemental coverage in a well-designed market. Such a system could, if desired, be created without raising taxes and without disrupting or changing the delivery of medical care.

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