在60年代和70年代,卫生保健措施是联邦卫生政策和立法的中心内容。政府制定了各种计划,旨在改善卫生保健人力缺乏和人员分配不当的状况,发展公共、乡村和都市的流动保健中心,缩小老人和贫民健康保险的差距。这些计划的主要缺陷是未广泛地探讨卫生保健的资金提供方法,对人力的供求缺乏长远规划。因此,80年代,公立和私立部门均非常关心费用控制和即将发生的医生过剩问题。这种关切以至忽视了医疗的平等机会和保健质量。同时,卫生保健体制正经历巨大变化,这种变化与快速增长的盈利性健康保健活动相一致。旨在把竟争的观念用为控制费用和有效服务的关健, In the 1960s and 1970s, health care measures were central to federal health policy and legislation. The government has formulated various plans aimed at improving the lack of health care personnel and the improper distribution of personnel, developing mobile health centers in public, rural and urban areas, and narrowing the gap in health insurance for the elderly and the poor. The main drawback of these plans is that they have not extensively explored ways to provide funds for health care, and there is no long-term plan for manpower supply and demand. Therefore, in the 1980s, the public and private sectors were very concerned about the cost control and the impending doctor surplus. This concern has even overlooked equal opportunities for health care and quality of care. At the same time, the health care system is undergoing dramatic changes that are consistent with the rapid growth of profitable health care activities. Aiming to use the concept of competition as the key to controlling costs and effective services,