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近年来,美国用于健康救济的管理费用剧增.曾经考虑过的,能否削减统一管理健康和疾病救济金的设想难以实现。为此只有将卫生事业国有化。美国麻省剑桥医院的希梅尔斯坦(D.Himmelste-in)和波士顿大学公共卫生学院的伍尔汉德勒(S.Woolhandler)搜集了全美卫生管理费用的数据。据统计,1970～1982年期间,医学系统的管理人员增长了171%,相当于医生(医生增长48%)、护士和其他直接从事医务工作的人员(增长57%)的3倍。1983年美国卫生管理费用的支出不少于770.7亿美元,约占整个卫生事业费的22%。
In recent years, the management costs for health relief in the United States have increased dramatically. Once considered, the idea of whether it is possible to reduce the unified management of health and sickness benefits is difficult to achieve. For this purpose, only the nationalization of the health service will be implemented. D. Himmelste-in of Cambridge Hospital, Massachusetts, and S. Woolhandler of the Boston University School of Public Health, collected data on health management costs across the United States. According to statistics, during the period from 1970 to 1982, the number of managers in the medical system increased by 171%, which was equivalent to three times the number of doctors (48% for doctors), nurses, and other personnel directly engaged in medical work (up 57%). In 1983, the expenditure on health management expenses in the United States was not less than US$77.07 billion, accounting for about 22% of the total health expenditure.