摘要：As a matter of social contract, American society provides health care to the
medically indigent. Two problems arise: First, the rate at which care is
reimbursed is government determined minimal regard to the market place. Second,
the liability of providing hospital care for the indigent is not shared equally
by all hospitals. This leads to some socially undesirable consequences, such as
the closure of hospitals in poor areas. This paper proposes tradable admissions
permits as a method for restoring the 'missing market' for care for the poor.
Unlike the prospective payments system, admissions permits can achieve both
efficiency and equity.
