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在美国一些医院,穷人医疗救济(Medicaid)的比例十分高,但它们得到的公共资助却明显不足,尽管联邦法律要求消除这种不平衡现象。1988年7月生效的联邦法律要求Medicaird 机构向那些“比例不当”的医院提供额外补贴,但一位研究人员在数月前对49个州和哥伦比亚特区的Medicaid 计划调查后发现,有资格接受这样补贴的医院为数不多,或根本没有,而许多有资格的医院接受的款额,相对来讲微不足道。全国公共医院协会(NAPH)主席LarryGage 把许多缺点归咎于各州政府,他认为州政府在执行该项法律时拘泥于文字,而不
In some hospitals in the United States, the proportion of Medicaid for the poor is very high, but the public funding they receive is clearly insufficient, although federal law requires that this imbalance be eliminated. Federal law, which took effect in July 1988, required the Medicaird agency to provide additional subsidies to “proportionate” hospitals, but a researcher who had investigated the Medicaid plans in 49 states and the District of Columbia a few months ago found that he was qualified to accept this. There are few hospitals subsidized, or none at all, and the amount of money that many qualified hospitals receive is relatively insignificant. Larry Gage, chairman of the National Association of Public Hospitals (NAPH), attributed many shortcomings to the state governments. He believes that the state government is rigid in the implementation of the law, not