经纪人报读书笔记.docVIP

Health careA new prescription for the poor为贫穷者新开的处方America is developing a two-tier health system, one for those with private insurance, the other for the less well-off美国正在发展一个双重的健康系统，一重是为那些有个人保险的人群，而另一重则是为那些不那么富裕的人群Oct 8th 2011 | NEW YORK | from the print edition“IT’S time for Dancing with the Stars!”, a woman announces enthusiastically. At this New York health centre, wedged between housing projects to the east and Chinatown to the west, “dancing with the stars” means dancing with a physical therapist. An old man stands up with a nurse and begins a determined samba.“是时候和明星一起跳舞了！”一位女士满怀热情地宣告。在这个坐落于房屋工程的西面，唐人街东面的纽约健康中心，“和明星起舞”的意思是和一位物理治疗师跳舞。一位老者和一个护士站起来，开始跳事先确定好的桑巴舞。Comprehensive Care Management (CCM), which runs this centre, tries to keep old people active. To do so, explains Joseph Healy, the chief operating officer, is in the company’s best interest. The government pays CCM a capped rate for the care of its members. If someone gets sick, his health costs rise and the company’s margin shrinks. Mr Healy argues that the system is the best way to provide good care at a low cost. Increasingly others seem to agree.经营这个中心的综合护理管理部门（CCM）努力保持老人们的活力。约瑟夫-海莉，首席运营官解释说，这样做符合公司的最佳利益。政府给这个部门一个封顶的津贴来让他们照顾这些人。如果有人生病了，他的健康成本就会上升，公司的利润就会萎缩。海莉先生确定说这个系统能够在一个低成本上提供最佳的护理。其他人也逐渐同意这个观点。Medicaid, America’s health programme for the poor, is in the process of being transformed. Over the next three years, New York will move its entire Medicaid population into “managed care”, paying companies a set rate to tend to the poor, rather than paying a fee for each service. New York is not alone. States from California to Mississippi are expanding managed care. It is the culmination of a steady shift in the way most poor Americans receive their health-care treatment.公共医疗补助，即美国的穷人健康计划，正在被改造的过程中。在接下来的 三年内，纽约将把整个接受穷人健康计划的人群纳入“管理关怀”之中，付给公司们一个事先定好的费用来照顾那些穷人，而不是按照项目来付费。纽约不是唯一这样做的州。加州，密西西比州正在拓展管理关怀计划。这代表一种正在进行中的稳步转变，即大部分贫穷美国人接受健康关怀方式的转变。Medicaid is America’s single biggest health programme. Th