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首页> 外文期刊>Journal of Business Ethics >International Trade and Health Policy: Implications of the GATS for US Healthcare Reform
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International Trade and Health Policy: Implications of the GATS for US Healthcare Reform

机译：国际贸易与卫生政策：《服贸总协定》对美国医疗改革的启示

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This paper examines the implications of the General Agreement on Trade in Services (GATS), the World Trade Organization's agreement governing trade in health-related services, for health policy and healthcare reform in the United States. The paper describes the nature and scope of US obligations under the GATS, the ways in which the trade agreement intersects with domestic health policy, and the institutional factors that mediate trade-offs between health and trade policy. The analysis suggests that the GATS provisions on market access, national treatment and domestic regulation, which are designed to eliminate 'regulatory barriers' to global trade in health services, limit the range of options that state and federal regulators and legislative bodies can employ to regulate the health sector and implement healthcare reforms. As such, the paper identifies the broader social and ethical implications of free trade policy.
机译：本文研究了《服务贸易总协定》（GATS），世界贸易组织管理健康相关服务贸易的协定对美国的卫生政策和医疗改革的影响。本文描述了美国根据GATS承担的义务的性质和范围，贸易协定与国内卫生政策的相交方式以及调解卫生与贸易政策之间的取舍的制度因素。分析表明，《服务贸易总协定》关于市场准入，国民待遇和国内监管的规定旨在消除全球卫生服务贸易的“监管壁垒”，从而限制了州和联邦监管机构以及立法机构可以采用的备选方案的范围。卫生部门并实施医疗改革。因此，本文确定了自由贸易政策对社会和道德的广泛影响。

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