在医疗改革的余波中,雇主和雇员之间的界限越来越少

M. Beckford
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引用次数: 0

摘要

奥巴马政府制定的平价医疗法案(ACA)将在2014年全面实施。这项医疗改革的前提是让近5000万没有保险的美国人中的大多数都能获得保险。成本控制是这样一项重大努力的可行性和长期性的组成部分。到目前为止,85%的美国人享受雇主提供的医疗保险福利。作为医疗保健改革的一部分,被保险人正在被推动成为更负责任的医疗保健服务消费者。被保险人也被要求更好地管理健康行为。在改革的前提下,雇主们正在抓住机会,要求在新成立的负责任医疗组织(ACOs)登记。因此,雇佣机构可能会更多地参与到曾经被视为私人的个人健康信息中。当雇主监督和监控员工的健康行为时,就会出现潜在的利益冲突,个人自主权的丧失,歧视也会变得明显。最终的结果可能是雇主扮演了更大的家长式角色。对于那些最需要帮助的人来说,有可能失去工作,并因此缺乏医疗保险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fewer Boundaries between Employers and Employees Emerge on The Coattails of Health Care Reform
The Affordable Care Act (ACA), legislated under the Obama administration, will be fully implemented by 2014. The premise of this health care reform is to make insurance coverage available to a majority of the nearly 50 million uninsured Americans. Cost containment is integral to the viability and longevity of such a significant endeavor. To date 85% of the U.S. population enjoys employer based health care benefits. As part of health care reform, the insured are being pushed to be more responsible consumers of health care services. The insured are also being asked to be better stewards of health behaviors. Under the premise of reform, employers are seizing the opportunity to mandate enrollment in newly established Accountable Care Organizations (ACOs). Thus there may be greater involvement of employing agencies into what was once considered private personal health information. When employers oversee and monitor the health behaviors of employees there becomes a potential conflict of interest, loss of individual autonomy, and discrimination becomes apparent. The end result could be a greater paternalistic role for the employer. There is a possibility of job loss and consequential lack of health insurance for those who are most in need.
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