Washington, Ottawa, and health care reform: a tale of 2 capitals.
Washington, Ottawa, and health care reform: a tale of 2 capitals.
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华盛顿、渥太华和医疗改革：两个首都的故事。
DOI：
10.1001/jama.2010.654
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
A. Detsky
中科院分区：
文献类型：
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作者：
Samuel Y. Sessions;A. Detsky
医疗改革法案的颁布使美国走上了几乎全民医疗保险覆盖的道路。虽然这是一项非凡的、具有历史意义的成就，但这项立法也险些失败。甚至该法案的通过也使该国处于类似于加拿大近半个世纪前所取得的地位。本文描述了这种时间滞后的主要原因，并对其影响进行了评论。
ENACTMENT OF HEALTH CARE REFORM 1 SETS THE UNITED States on a course for nearly universal health insurance coverage. While a remarkable and historically significant accomplishment, the legislation came within a hair’s breadth of failure. Even its passage places the country in a position similar to that achieved by Canada almost a half century ago. This article describes the principal reason for this time lag and comments on its implications.