A Skeptic's View of Global Budget Caps
探讨政府强制全球预算上限（如克林顿提案）对医疗支出的影响，认为全民医保会创造支持更高支出的新群体，政治和法律压力使预算上限难以降低医疗支出增速。
This brief paper explores the likely effects of government-imposed global budget caps, such as those in the Clinton administration proposal, on health care spending. It argues that health reform proposals that guarantee universal access to a basic package of medical benefits create a substantial new constituency for higher health care outlays. Political and potential legal pressures to expand rather than limit the set of guaranteed benefits, coupled with an expansion of the number of individuals with health insurance coverage, make it unlikely that global budget targets will succeed in reducing the rate of health care spending growth.