Public Finance Principles and National Health Care Reform
提出四项公共财政原则，并探讨其对国民医疗改革的启示，包括融资不应依赖雇主、削减支出未必节省真实资源等，适合关注医疗政策与财政的读者。
Public finance principles, though usually treated as a minor consideration, lie at the heart of effective national health care reform. Four principles are discussed: charge for a service where its cost is created; distinguish rents, resources, and transfers; know what services cost and pay accordingly; balance distributional and equity concerns. The principles’ implications include: since employment does not much affect health costs, financing (particularly of incremental insureds) need not be employer-based; health resources being immobile, many cutbacks in expenditure will not reflect real resource savings; and health care financing should mesh with an overall program of taxation and expenditure.