Moreover, only half of those expenditures show up as more health care received by program beneficiaries; the other half flow into the general US health-care financing system and cover care that was previously uncompensated. And America’s health-care financing system is uniquely inefficient: other OECD countries get more in terms of health and healthcare services from every dollar they spend than America gets from every $2 it spends.
此外，这些支出中只有一半能成为这些计划受益人所获得的医疗服务的增加；另一半流入了美国医药费融资系统，用于覆盖此前没有偿付的医药费。美国医药费融资系统以效率低下闻名：其他经合组织国家国民从单位支出中所获得的健康和医疗服务比美国多出一倍有余。因此，美国公共医保计划扩张对美国穷人实际福利的贡献也许只有每年0.2个百分点。