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卫生保健费用在过去几年增长很快,并有继续增长的趋势。如不加以控制,将会在今后20年内对全国经济生产产生严重后果。有人首先把这归咎于卫生保健提供者,特别是医生的自私自利,因保健费用的使用通常由他们决定。但也有人指出,医生们的工作是基于为病人服务的目的,医生是出于“技术需要”,即为了病人的健康就应使用一切有效的医疗技术手段,而不计较成本-收益比率。还有人认为是由于公众把对医疗保健越来越多,越来越高的要求,作为一种必然的
Health care costs have grown rapidly in the past few years and continue to grow. If it is not controlled, it will have serious consequences for the country’s economic production in the next 20 years. Some people attributed this to health care providers, especially doctors’ self-interest, because the use of health care costs is usually determined by them. However, it has also been pointed out that doctors’ work is based on the purpose of serving patients. The doctors are out of “technical needs”, that is, they should use all effective medical techniques for the patient’s health, regardless of the cost-benefit ratio. Others believe that it is due to the growing public demand for more and more medical care as a necessity.