美国医学的社会转型
The social transformation of American medicine
Paul Starr · 初版 1978 年
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一部探讨美国医疗行业的高深、睿智且极具学术深度的力作。如果你真想弄清医疗是如何从崇高职业沦为一门纯粹生意的，阅读这本必读书目后自会恍然大悟。你可以假装懂行，也可以真正做到洞若观火。本书考据详实、引证丰富，但读起来丝毫不显枯燥晦涩。
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The social transformation of American medicine
Paul Starr · 初版 1978 年
一部探讨美国医疗行业的高深、睿智且极具学术深度的力作。如果你真想弄清医疗是如何从崇高职业沦为一门纯粹生意的，阅读这本必读书目后自会恍然大悟。你可以假装懂行，也可以真正做到洞若观火。本书考据详实、引证丰富，但读起来丝毫不显枯燥晦涩。
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他们一直在极力压低医学院的招生名额，而且几十年来他们的游说一直紧密贴合共和党的医疗政策。去看看保罗·斯塔尔（Paul Starr）的《美国医疗的社会转型》（The Social Transformation of American Medicine）吧。
They actively pursue minimizing the number of medical school seats and their lobbying has been tightly aligned with Republican health care policies for decades. Check out Paul Starr's The Social Transformation of American Medicine
……比如医疗保健就是这样一种领域：如果你不考虑供给端，投再多的钱也只会让一切变得更贵。如果你还没读过，我强烈推荐保罗·斯塔尔的《美国医疗的社会转型》。全美医学博士（MD）医学院的录取名额已经维持在每年 1.6 万到 1.7 万左右长达 100 年了。https://www.nytimes.com/books/98/12/06/specials/starr-medici...
…Health Care, for example, is one of those things where, if you're not thinking about supply, spending more money just makes everything more expensive. If you haven't, I highly recommend Paul Starr's Social Transformation of American Medicine. The number of MD medical school seats in the US has remained at about 16k-17k for 100 years. https://www.nytimes.com/books/98/12/06/specials/starr-medici...
……电视上的时事评论员）如果你真的想学点东西，就别听这帮人瞎扯了（说真的，这是在浪费你宝贵的一生），去上一门卫生经济学课，或者读读保罗·斯塔尔的《美国医疗的社会转型》吧。
…talking heads) If you're serious about learning, stop listening to these people (seriously, it's a waste of your one precious life) and try taking a healthcare economics class or reading Paul Starr's Social Transformation of American Medicine.
顺便安利一下保罗·斯塔尔的《美国医疗的社会转型》。这是关于美国医疗体系的权威著作。读完这本之后，其他所有文章都显得小儿科了。顺便说一句，你真该看看我今天遇到的那对退休英国夫妇脸上的恐惧神情……
Just a plug for Paul Starr's The Social Transformation of American Medicine. It's the definitive text on healthcare in America. After that, all the other writing is quaint. On a separate note, you should have seen the fear on the faces of the retired English couple I saw today…
一个术语，一本书。术语：risk pool（风险池）—— http://en.wikipedia.org/wiki/Risk_pool 书：《美国医疗的社会转型》—— http://www.amazon.com/The-Social-Transformation-American-Med...
One term, one book. Term: risk pool -- http://en.wikipedia.org/wiki/Risk_pool Book: The Social Transformation of American Medicine -- http://www.amazon.com/The-Social-Transformation-American-Med...
最权威的论述出自保罗·斯塔尔的《美国医疗的社会转型》http://www.goodreads.com/book/show/142863.The_Social_Transfo... 太长不看版（Tl;dr）：adverse selection（逆向选择）是我们落到今天这步田地的众多原因之一。
The definitive treatment is Paul Starr's Social Transformation of American Medicine http://www.goodreads.com/book/show/142863.The_Social_Transfo... Tl;dr: adverse selection is one of many reasons we are where we are.