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首页> 外文期刊>The Journal of law, medicine & ethics: a journal of the American Society of Law, Medicine & Ethics >Realization of the international human right to health in an economically integrated North America.
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Realization of the international human right to health in an economically integrated North America.

机译:在经济一体化的北美实现国际健康权。

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摘要

With the North American Free Trade Agreement (NAFTA), the health care sectors of the United States, Canada, and Mexico are becoming more economically integrated. NAFTA poses major challenges to the realization of the international human right. These include: (1) Cross Border Trade in Medical Products, (2) Cross Border Trade in Medical Services, and the attendant investment protections, (3) Portability and Comparability of Health Insurance Coverage, and (4) Protection of Public Health Insurance Programs. The United States, Mexico, and Canada all provide public health insurance programs either to the entire population as in Canada or to vulnerable groups as in the United States. In none of these countries have private, for-profit providers and insurers been able to provide universal and affordable health coverage and care in a truly free market. Private insurers and for-profit providers should not profit from the care of the healthy and wealthy in ways that compromise the public programs that serve the poor and seriously ill. Nor should they be allowed to use NAFTA processes to compromise public programs. Policy makers must consider implications of NAFTA and move toward assuring access to affordable health care for all people on the North American continent.
机译:通过《北美自由贸易协定》(NAFTA),美国,加拿大和墨西哥的医疗保健部门正在变得更加经济一体化。北美自由贸易协定对实现国际人权提出了重大挑战。其中包括:(1)医疗产品的跨境贸易,(2)医疗服务的跨境贸易,以及相关的投资保护,(3)健康保险承保范围的可移植性和可比性,以及(4)公共健康保险计划的保护。美国,墨西哥和加拿大都向加拿大的全体人口或美国的弱势群体提供公共健康保险计划。在这些国家中,没有一个国家的私营,营利性提供者和保险公司能够在一个真正的自由市场上提供普遍和负担得起的健康保险。私人保险公司和营利性提供者不应从健康和富人的照顾中获利,而这会损害为穷人和重病患者服务的公共计划。也不应允许他们使用NAFTA流程来破坏公共程序。决策者必须考虑NAFTA的影响,并努力确保北美大陆所有人都能获得负担得起的医疗服务。

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