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发表于 2011-4-12 17:42:29
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And the weight of that ageing group will be lower in the US. UN projections show that, in 2050, for every 100 Americans of working age there will be 35 people over 65. Those ratios will be 47, 55 and 71 for France, Germany and Japan respectively. What is more, the US government’s cost should be lower, since it relies extensively on private sector medicine. The government paid only 49 per cent of US healthcare expense in 2008, according to the Organisation for Economic Co-operation and Development, compared with between 77 and 82 per cent in the peer group.
而老龄化人口在美国所占的比重也将更低。联合国预计,2050年,美国每100个劳动年龄的人口中,将有35人超过65岁。而在法国、德国和日本,这一数字将分别为47人、55人和71。此外,由于美国广泛依赖于私人部门的医疗服务,政府的支出也应该更低。经合组织(OECD)的数据表明,在美国2008年的医疗支出中,政府只负担了49%,而其它富国的负担比例在77%至82%之间。
So why is the US government on course for weaker finances than its peers over the next few decades? First, it starts with a huge fiscal deficit. Second, and more importantly, it has by far the most inefficient healthcare system of any developed economy. The results are unimpressive and the expense is outrageous; in the US, the government spends more per person than governments in countries where care is almost entirely tax funded. Total health spending per capita is more than double the norm for wealthy countries.
那么为什么未来几十年美国政府的财政状况将比其它富国更为疲弱?首先,美国一开始就面临巨额财政赤字。其次,也是更重要的一点,美国的医疗体系目前在所有发达经济体中效率最为低下,效果乏善可陈,费用却高得离谱。相比于医疗支出几乎完全依赖于税收的国家,美国在每个人身上花的钱更多。美国的人均医疗支出是富裕国家一般水平的两倍还多。 |
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