与国际上大多数国家在医改中遇到的问题一样 ,纵览美国政府的老年人医疗照顾计划 ,亦是人口老龄化和医疗高科技等造成的医疗照顾需求增长与医疗照顾基金 (HI和 SMI)费用控制这一对矛盾相互作用、互为动力的过程 ,是一个不断改革的过程。美国的医疗照顾计划有较为先进的管理型医疗和 DRGS等费用控制措施。然而 ,主要依靠政府出资的医疗照顾计划仍然存在一些较为突出的问题 ,值得我们借鉴 Similar to the problems encountered by most countries in the world in health care reform, an overview of the US Government’s medical care plan for the elderly is also an increase in the demand for medical care and medical care funds (HI and SMI) caused by aging populations and high medical technology. The cost control of this process of contradictory interaction and mutual motivation is a process of continuous reform. The U.S. medical care plan has more advanced control measures such as managed medical care and DRGS. However, there are still some outstanding problems that rely primarily on government-funded medical care plans. It is worth learning from them.