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Treating the symptoms

机译：治疗症状

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Since governments first started to get worried about rising health costs in the 1970s and 1980s, they have tried time and again to check expenditure. The methods have varied from one country to another, and have developed from the crude to the more sophisticated. But all the attempts have one thing in common: any initial success has eventually been reversed by the pressure for higher spending in systems that remain wasteful. France's recent experience illustrates the problem. The growth in health spending was checked in the late 1990s but has picked up momentum since then, for two main immediate reasons, says Dominique Polton, director of IRDES, a health-economics research institute. First, hospitals are having to hire 45,000 extra staff to cope with the 35-hour working week, which has pushed up labour costs. Second, the fees charged by primary-care physicians were raised sharply after a long period when they had been held down.
机译：自从政府在1970年代和1980年代开始开始担心医疗费用上涨以来，他们就不停地尝试检查支出。从一个国家到另一个国家，方法有所不同，并且从原油到更复杂。但是所有的尝试都是有共同点的：任何最初的成功最终都因在仍然浪费的系统上增加支出的压力而被扭转。法国最近的经验说明了这个问题。卫生经济学研究所IRDES的负责人多米尼克·波顿（Dominique Polton）说，在1990年代后期，卫生支出的增长受到了遏制，但是由于两个主要的直接原因，此后一直在回升。首先，医院必须额外雇用45,000名员工来应付每周35小时的工作时间，这推高了人工成本。其次，长期压低基层医生的收费后，收费急剧上升。

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