華陀再世
一個中國醫學生(CMG)在美國的生活。。。
奧巴馬醫改方案中的所謂“個人強製保險”(individual mandate)要求美國人必須購買醫療保險，否則會受到經濟上的處罰。首席大法官約翰·羅伯茨和高法立場更偏向自由派的大法官們站到了一起，他代表多數大法官撰寫的裁決詞說，“因為憲法允許該類稅賦，因此由不得本法庭下令禁止，或就其是否明智和公平發表意見。”
奧巴馬政府爭辯說，“個人強製保險”符合憲法，理由是所有的美國人在其一生的某個時刻都需要醫療照顧，人們參與醫療保健市場並非出於個人選擇。
有26個州對奧巴馬的醫改案提出了法律訴訟。這些州爭辯說，不能強迫個人購買他們不想要或不需要的保險。
醫改法案在2010年初通過。這是奧巴馬總統第一屆任期的標誌性立法舉措。醫改的目的是解決醫療成本日益增加和買保險難的問題。醫保成為很多美國人的財政負擔。
但是醫改案在國會遇到強烈反對，很多在野的共和黨議員稱法案在政治上伸手太長，而且把沉重的負擔強加給工商界。
預計將成為共和黨總統候選人的羅姆尼已誓言，一旦今年11月當選，他就要推翻奧巴馬的醫療保健法案。
美國醫師協會（AMA)就美國最高法院維持奧巴馬醫保法案的聲明：
In a 5-4 decision issued Thursday, the Supreme Court of the United States confirmed the constitutionality of the Affordable Care Act, including the law’s individual responsibility and Medicaid expansion provisions. The AMA is pleased this decision means that millions of uninsured Americans will have the insurance coverage they need to become healthy and stay healthy.
A longtime supporter of health insurance coverage for all, the AMA remains committed to working on behalf of America’s physicians and patients to ensure the law is implemented in ways that support and incentivize better health outcomes and improve the nation’s health care system.
美西最大的醫院係統Dignity Health的CEO就美國最高法院維持奧巴馬醫保法案的聲明：
Today is a victory for patient care. Dignity Health has supported comprehensive health care reform for more than two decades. With the passage of the Patient Protection and Affordable Care Act (ACA) in 2010, the journey to modernize the American health care system and expand access to care began.
We are pleased that today the U.S. Supreme Court upheld all parts of the ACA that were challenged, including the individual mandate and the expansion of the Medicaid program. The ACA, while not perfect, is an important step in correcting an unjust health system that has left millions of people uninsured and forced millions more to cover those costs. We supported this legislation, even though it reduces payments to hospitals, because the new delivery model is focused on increasing the quality of care and reducing costs.
Today’s decisions are a victory for patient care. For all its issues, this bill enables us to bring the American health care system into the 21st Century. The real value of this legislation is that it changes the financing system to incentivize quality care. We look forward to continuing our implementation of the reform measures and we will continue to be strong advocates for universal access.
Switching from providing care mainly through episodic and fragmented engagements, to offering services through clinically integrated and coordinated systems, requires profound change. The breadth and complexity of the ACA reflects just what a large undertaking this is. However, the reforms outlined in the law can be achieved and reflect a wide consensus among clinical experts about how to improve our care system.
We will continue to advocate for changes to the health care delivery system and the ACA to address issues that still remain. Of particular concern is that the undocumented immigrants are still left without access to coverage.
I thank you for your role in providing the highest quality care possible to the communities we serve and for your continued commitment to our mission. Together, we can make the goals of health care reform become a reality.
http://www.wenxuecity.com/news/2012/06/28/1846264.html
http://www.medscape.com/viewarticle/765416?sssdmh=dm1.794217&src=nl_newsalert
