Question of the Day #107

"Arvia: Docs want single-payer and so should you"
From the headline of this article at the Chicago Tribune.

上記の文で、single-payerの意味は？
In the sentence above, what does "single-payer" mean?

答えは、コメントに書いてください。
Write your answer in the Comments.

明日、ここに答えを書きます。
I will add the answer and other remarks here tomorrow.

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解答

意味： Physicians for a National Health Programによると、


Single-payer national health insuranceとは、「全国民のためのMedicare」とも呼ばれていて、単一の公的機関が医療保険を提供するが、実際の治療等は、主に民間の医療機関に委ねる制度である。この制度のもとでは、アメリカのすべての住人の医療費、長期介護費等が公的機関によって支払われることになる。

Answer

According to Physicians for a National Health Program:

Single-payer national health insurance, also known as “Medicare for all,” is a system in which a single public or quasi-public agency organizes health care financing, but the delivery of care remains largely in private hands. Under a single-payer system, all residents of the U.S. would be covered for all medically necessary services, including doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug and medical supply costs.

Etymology/語源

Merriam-Websterによると、

初めて使用されたのが、1987年。

According to Merriam-Webster:

First know use of single-player: 1987

Examples

• Our organization has for many, many years supported a single-payer system.
• After all, there was never even a public option, let alone the single-payer fantasy.
• Unfortunately Brill's piece is also inspiring more comment that the only solution is to extend Medicare to all: single-payer.
• But those long wait times are not necessarily a by-product of their single-payer system.
• They would have preferred a Canadian-style single-payer system.